Premier Integreated Medical Assoc Ltd

NPI #1073570370 in Centerville, Ohio

Provider Information

NPI Number: 1073570370
Entity Type: Organization
Organization Name: Premier Integreated Medical Assoc Ltd
Primary Specialty: Family Medicine
Enumeration Date: Apr 28, 2006
Last Updated: Jan 4, 2010

Practice Location

Address: 979 CONGRESS PARK DR
City: Centerville
State: Ohio
ZIP Code: 45459-4009
Phone: (937) 435-9013

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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