Organization
SCIOTO FAMILY AND BEHAVIORAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HAASTRUP MD (PHYSICIAN)
(270) 871-7379
Entity
Organization
Contact information
Practice address
5611 GALLIA ST, PORTSMOUTH, OH 45662-5520
(740) 529-0083
Mailing address
791 MEADOW LN, WHEELERSBURG, OH 45694-8870
(270) 871-7379
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2019
Last updated
09/20/2021
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