Organization
PREMIER INTEGRATED MEDICAL ASSOCIATES, LTD
Active
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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