Independent Physical Medicine LLC

NPI #1063062354 in Lima, Ohio

Provider Information

NPI Number: 1063062354
Entity Type: Organization
Organization Name: Independent Physical Medicine LLC
Primary Specialty: General Practice
Enumeration Date: Sep 18, 2019
Last Updated: Sep 18, 2019

Practice Location

Address: 3469 W ELM ST
City: Lima
State: Ohio
ZIP Code: 45807-2226
Phone: (567) 940-9334

Authorized Official

Name: MRS. SOMMER GORMAN
Title: SECRETARY
Phone: (567) 356-7407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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