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Organization

MEDICAL SERVICES 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
600 E MAIN ST, WEST LAFAYETTE, OH 43845-1267
(740) 545-7900
(740) 545-7901
Mailing address
PO BOX 57, WEST LAFAYETTE, OH 43845-0057

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35082017
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2387064
OH
Enumeration date
06/11/2006
Last updated
02/11/2008
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