Fredericktown Family Practice

NPI #1114060472 in Fredericktown, Ohio

Provider Information

NPI Number
1114060472
Entity Type
Organization
Organization Name
Fredericktown Family Practice
Primary Specialty
Family Medicine
Enumeration Date
Feb 15, 2007
Last Updated
Jul 20, 2010

Practice Location

Address
16361 VILLAGE PKWY
State
Ohio
ZIP Code
43019-9585
Phone
(740) 694-2110

Authorized Official

Name
MS. AMANDA BOWERS
Title
OFFICE MANAGER
Phone
(740) 694-2110

Specialties & Taxonomy Codes

Specialty
Family Medicine

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Organizations

Provider Name
American Health Network of Ohio, LLC

Part of American Health Network of Ohio, LLC

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