Organization
QUEST PRIMARY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN ERICKSON (OWNER/PARTNER)
(937) 342-9861
Entity
Organization
Contact information
Practice address
1176 E HOME RD, SPRINGFIELD, OH 45503-2726
(937) 342-9861
Mailing address
1176 E HOME RD, SPRINGFIELD, OH 45503-2726
(937) 342-9861
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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