West Market Street Family Phys

NPI #1225159791 in Lima, Ohio

Provider Information

NPI Number: 1225159791
Entity Type: Organization
Organization Name: West Market Street Family Phys
Primary Specialty: Family Medicine
Enumeration Date: Apr 3, 2007
Last Updated: Apr 25, 2012

Practice Location

Address: 915 W MARKET ST
Address 2: SUITE E
City: Lima
State: Ohio
ZIP Code: 45805-2768
Phone: (419) 229-4747

Authorized Official

Name: DR. DAVID J NEIDHARDT, M.D.
Title: PRESIDENT
Phone: (419) 229-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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