Organization
GENESIS PRIMARY CARE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NORMAN (CFO)
(740) 454-4773
Entity
Organization
Contact information
Practice address
860 BETHESDA DR, ZANESVILLE, OH 43701-1800
(740) 454-4651
Mailing address
860 BETHESDA DR, ZANESVILLE, OH 43701-1800
(740) 454-4651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
10/25/2011
Last updated
10/05/2022
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