Organization
MEDICAL SERVICS OF COSHOCTON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MILLER (CEO)
(740) 623-4009
Entity
Organization
Contact information
Practice address
1523 WALNUT ST, COSHOCTON, OH 43812-2289
(740) 295-3368
(740) 295-3363
Mailing address
PO BOX 57, WEST LAFAYETTE, OH 43845-0057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35085524
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2470017
—
OH
Enumeration date
06/21/2006
Last updated
08/22/2020
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