Organization
AFTER HOURS FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORA RICHARDSON (PROVIDER)
33097542255
Entity
Organization
Contact information
Practice address
18 E MAIN ST, SEVILLE, OH 44273-8850
(330) 975-4255
(330) 975-4277
Mailing address
PO BOX 47, SEVILLE, OH 44273-0047
(330) 975-4255
(330) 975-4277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP04192
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3052860
—
OH
Enumeration date
06/16/2010
Last updated
08/02/2010
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