Organization
PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD
Active
Other names
PRIMED NORTHWEST DAYTON PEDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD A MOLFENTER MD (PRESIDENT)
(937) 836-9921
Entity
Organization
Contact information
Practice address
120 W WENGER RD, ENGLEWOOD, OH 45322-2762
(937) 836-9921
(937) 836-1298
Mailing address
25 MERCHANT ST, STE. 220, CINCINNATI, OH 45246-3700
(513) 533-6507
(513) 645-9767
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2080948
—
OH
Enumeration date
04/12/2006
Last updated
03/11/2016
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