Premier Integrated Medical Assoc Ltd

NPI #1447218631 in Centerville, Ohio

Provider Information

NPI Number: 1447218631
Entity Type: Organization
Organization Name: Premier Integrated Medical Assoc Ltd
Primary Specialty: Pediatrics
Enumeration Date: May 4, 2006
Last Updated: Jul 15, 2019

Practice Location

Address: 6520 ACRO COURT
City: Centerville
State: Ohio
ZIP Code: 45459
Phone: (937) 291-6850

Authorized Official

Name: DR. MARK A COUCH, MD
Title: PRESIDENT
Phone: (937) 898-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X
Pediatrics	208000000X	Primary

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