Premise Health of Ohio Medical, P.a
NPI #1104114529 in Murfreesboro, Tennessee
Provider Information
- NPI Number
- 1104114529
- Entity Type
- Organization
- Organization Name
- Premise Health of Ohio Medical, P.a
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 19, 2011
- Last Updated
- Aug 16, 2022
Practice Location
- Address
- 100 W BURTON ST
- City
- Murfreesboro
- State
- Tennessee
- ZIP Code
- 37130-3657
- Phone
- (615) 898-7880
Authorized Official
- Name
- JON LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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