Premier Integrated Medical Assoc Ltd

NPI #1043277346 in Dayton, Ohio

Provider Information

NPI Number: 1043277346
Entity Type: Organization
Organization Name: Premier Integrated Medical Assoc Ltd
Primary Specialty: Family Medicine
Enumeration Date: Apr 28, 2006
Last Updated: Jul 15, 2019

Practice Location

Address: 7211 N MAIN ST
Address 2: SUITE 1
City: Dayton
State: Ohio
ZIP Code: 45415-2566
Phone: (937) 274-2117

Authorized Official

Name: DR. MARK A COUCH, MD
Title: PRESIDENT
Phone: (937) 878-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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