Premier Integrated Medical Assoc Ltd
NPI #1336106798 in Centerville, Ohio
Provider Information
- NPI Number
- 1336106798
- Entity Type
- Organization
- Organization Name
- Premier Integrated Medical Assoc Ltd
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 28, 2006
- Last Updated
- Dec 30, 2009
Practice Location
- Address
- 896 S MAIN STREET
- City
- Centerville
- State
- Ohio
- ZIP Code
- 45458-3439
- Phone
- (937) 436-3117
Authorized Official
- Name
- DR. MARK A COUCH, MD
- Title
- PRESIDENT
- Phone
- (937) 898-3600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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