Premier Integrated Medical Assoc Ltd

NPI #1023075330 in Beavercreek, Ohio

Provider Information

NPI Number: 1023075330
Entity Type: Organization
Organization Name: Premier Integrated Medical Assoc Ltd
Primary Specialty: Pediatrics
Enumeration Date: Apr 28, 2006
Last Updated: Jul 15, 2019

Practice Location

Address: 2322 LAKEVIEW DR
City: Beavercreek
State: Ohio
ZIP Code: 45431
Phone: (937) 320-3848

Authorized Official

Name: DR. MARK A COUCH, MD
Title: PRESIDENT
Phone: (937) 898-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X
Pediatrics	208000000X	Primary

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