Occmed Source, LLC

NPI #1003076431 in Kent, Ohio

Provider Information

NPI Number: 1003076431
Entity Type: Organization
Organization Name: Occmed Source, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 10, 2008
Last Updated: Jun 10, 2008

Practice Location

Address: 174 CURRIE HALL PKWY
Address 2: SUITE D
City: Kent
State: Ohio
ZIP Code: 44240-4387
Phone: (330) 548-0086

Authorized Official

Name: GREGORY A MOTEN, D.O.
Title: MEDICAL DIRECTOR
Phone: (330) 548-0086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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