Premise Health of Ohio Medical, P.a
NPI #1063770196 in Redmond, Washington
Provider Information
- NPI Number
- 1063770196
- Entity Type
- Organization
- Organization Name
- Premise Health of Ohio Medical, P.a
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 26, 2012
- Last Updated
- Aug 16, 2022
Practice Location
- Address
- 3925 159TH AVE NE
- City
- Redmond
- State
- Washington
- ZIP Code
- 98052-6309
- Phone
- (425) 216-0550
Authorized Official
- Name
- JON LEIZMAN, M.D.
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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