Organization
POMERENE GASTROENTEROLOGY
Active
Parent organization
HEALTH PROFESSIONALS OF HOLMES COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH PROFESSIONALS OF HOLMES COUNTY
Authorized official
JASON JUSTUS (CFO)
(330) 674-1584
Entity
Organization
Contact information
Practice address
1261 WOOSTER RD STE 210, MILLERSBURG, OH 44654
(330) 763-2018
(330) 763-2063
Mailing address
981 WOOSTER RD, ATTN: MELISSA FIELITZ, MILLERSBURG, OH 44654-1536
(330) 674-1584
(330) 674-9314
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2801418
—
OH
Enumeration date
10/13/2016
Last updated
06/08/2018
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