Mirhaidari Family Practice
NPI #1154859924 in New Philadelphia, Ohio
Provider Information
- NPI Number
- 1154859924
- Entity Type
- Organization
- Organization Name
- Mirhaidari Family Practice
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 24, 2017
- Last Updated
- May 24, 2017
Practice Location
- Address
- 152 N BROADWAY ST STE 100
- City
- New Philadelphia
- State
- Ohio
- ZIP Code
- 44663-2665
- Phone
- (330) 364-8884
Authorized Official
- Name
- SHADY TAGGART
- Title
- BILLING
- Phone
- (330) 364-8884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Family Medicine |
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