Premise Health of Ohio Medical, P.a
NPI #1063086411 in New Boston, Ohio
Provider Information
- NPI Number
- 1063086411
- Entity Type
- Organization
- Organization Name
- Premise Health of Ohio Medical, P.a
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 19, 2021
- Last Updated
- Aug 16, 2022
Practice Location
- Address
- 3879 RHODES AVE
- City
- New Boston
- State
- Ohio
- ZIP Code
- 45662-6002
- Phone
- (740) 354-0292
Authorized Official
- Name
- DR. JONATHAN B LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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