Organization
PREMIER PHYSICIANS CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF DYBIEC (CFO)
(440) 895-5036
Entity
Organization
Contact information
Practice address
805 COLUMBIA RD STE 101, WESTLAKE, OH 44145-1461
(216) 227-2194
(216) 227-2196
Mailing address
24651 CENTER RIDGE RD STE 350, WESTLAKE, OH 44145-5627
(440) 895-5056
(440) 895-5050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119204
—
OH
Enumeration date
11/20/2017
Last updated
06/11/2019
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