Individual
DR. HOLLY R RECOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
460 S MAIN ST, MOUNT VICTORY, OH 43340-8869
(937) 354-2027
(937) 354-2029
Mailing address
PO BOX 367, 460 S MAIN ST, MOUNT VICTORY, OH 43340-0367
(937) 354-2027
(937) 354-2029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34005413R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37347
BCBS
OH
01
—
4324562
AETNA
OH
Enumeration date
10/04/2006
Last updated
01/25/2022
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