Ohio Premier Dermatology, LLC

NPI #1316233158 in Sunbury, Ohio

Provider Information

NPI Number: 1316233158
Entity Type: Organization
Organization Name: Ohio Premier Dermatology, LLC
Primary Specialty: Dermatology
Enumeration Date: Jun 20, 2011
Last Updated: Jun 20, 2011

Practice Location

Address: 44 KINTNER PKWY
Address 2: SUITE B
City: Sunbury
State: Ohio
ZIP Code: 43074-9368
Phone: (740) 965-0855

Authorized Official

Name: DR. RAMONA MARIA SARSAMA NIXON, D.O.
Title: DERMATOLOGIST & OWNER
Phone: (614) 256-5422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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