Organization
PREMISE HEALTH OF OHIO MEDICAL, P.A
Active
Other names
Citi Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
1000 TECHNOLOGY DR, O FALLON, MO 63368-2239
(636) 261-1600
(636) 261-1601
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(636) 261-1600
(636) 261-1601
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2014
Last updated
08/16/2022
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