Organization
BLUFFTON FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREL HOTMIRE DO (OWNER)
(419) 369-4804
Entity
Organization
Contact information
Practice address
582 HARMON RD, BLUFFTON, OH 45817-1069
(419) 369-4804
(419) 369-4805
Mailing address
582 HARMON RD, BLUFFTON, OH 45817-1069
(419) 369-4804
(419) 369-4805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508818568
1508818568
OH
01
—
1831295674
GROUP NPI
OH
01
—
DC6643
RAILROAD MEDICARE
OH
Enumeration date
09/16/2006
Last updated
10/29/2021
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