Organization
PRIMECARE PHYSICIANS OF WEST CENTRAL OHIO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIE BOSSLET (PRACTICE MANAGER)
(937) 492-8431
Entity
Organization
Contact information
Practice address
1205 FAIRINGTON DR, SIDNEY, OH 45365-8144
(937) 492-8431
(937) 498-5126
Mailing address
1205 FAIRINGTON DR, SIDNEY, OH 45365-8144
(937) 492-8431
(937) 498-5126
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
10/24/2011
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