Organization
GERIATRIC ASSOCIATES OF ZANESVILLE
Active
Organization
GERIATRIC ASSOCIATES OF ZANESVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L CROWDER CMPE (CHIEF OPERATING OFFICER)
(740) 455-3304
Entity
Organization
Contact information
Practice address
712 CHINA ST, CROOKSVILLE, OH 43731-1124
(740) 982-6872
(740) 982-5551
Mailing address
3606 MAPLE AVE, ZANESVILLE, OH 43701-1072
(740) 455-3304
(740) 455-3686
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178249
—
OH
Enumeration date
12/06/2006
Last updated
09/18/2018
Update your record
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