Organization
PREMIUM QUALITY NP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YATISH GOYAL MD (MEMBER)
(330) 461-0914
Entity
Organization
Contact information
Practice address
555 SPRINGBROOK DR, MEDINA, OH 44256-3651
(330) 461-0914
Mailing address
5155 BUEHLERS DR STE 108, MEDINA, OH 44256-5388
(330) 461-0914
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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