Organization
PREMIER INTEGRATED MEDICAL ASSOC. LTD
Active
Other names
PriMed Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK COUCH MD (PRESIDENT)
(937) 898-3600
Entity
Organization
Contact information
Practice address
500 LINCOLN PARK BLVD, SUITE 110, KETTERING, OH 45429-3492
(937) 312-8155
(937) 293-9231
Mailing address
500 LINCOLN PARK BLVD, SUITE 110, KETTERING, OH 45429-3492
(937) 312-8155
(937) 293-9231
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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