Organization
PAIN EVALUATION & MANAGEMENT CENTER OF OHIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MARTIN DONNINI D.O. (CO-OWNER)
(937) 439-4949
Entity
Organization
Contact information
Practice address
1550 YANKEE PARK PL, STE A, CENTERVILLE, OH 45458-1838
(937) 439-4949
(937) 439-4948
Mailing address
DEPT L-2433, COLUMBUS, OH 43260-0001
(937) 439-4949
(937) 439-4948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236104
—
OH
Enumeration date
05/18/2006
Last updated
01/15/2013
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