Samaritan Family Care INC

NPI #1265487342 in Dayton, Ohio

Provider Information

NPI Number: 1265487342
Entity Type: Organization
Organization Name: Samaritan Family Care INC
Subpart: Yes (part of a larger organization)
Parent Organization: SAMARITAN FAMILY CARE INC
Primary Specialty: Family Medicine
Enumeration Date: May 24, 2006
Last Updated: Nov 8, 2013

Practice Location

Address: 9000 N MAIN ST
Address 2: SUITE G-35
City: Dayton
State: Ohio
ZIP Code: 45415-1180
Phone: (937) 836-5170

Authorized Official

Name: KENNETH PRUNIER
Title: CEO/PRESIDENT
Phone: (937) 208-8213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Sports Medicine — Sports Medicine	207QS0010X
Family Medicine	207Q00000X	Primary

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