Organization
GREGORY J. FACEMYER, M.D., LLC
Active
Other names
Austin Square Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY JOHN FACEMYER (OWNER)
(330) 533-7210
Entity
Organization
Contact information
Practice address
5121 MAHONING AVE, YOUNGSTOWN, OH 44515-1847
(330) 799-3223
Mailing address
8023 MAPLEVALE DRIVE, CANFIELD, OH 44406
(330) 533-7210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35072943F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125542
—
OH
Enumeration date
03/16/2007
Last updated
04/01/2020
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