Southmoor Medical Associates

NPI #1336264209 in Kettering, Ohio

Provider Information

NPI Number: 1336264209
Entity Type: Organization
Organization Name: Southmoor Medical Associates
Primary Specialty: Family Medicine
Enumeration Date: Mar 20, 2007
Last Updated: Aug 16, 2007

Practice Location

Address: 38 SOUTHMOOR CIR NE
City: Kettering
State: Ohio
ZIP Code: 45429-2443
Phone: (937) 294-4487

Authorized Official

Name: DR. JOHN JEROME HOCHWALT
Title: PRESIDENT
Phone: (937) 294-4487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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