Premier Integrated Medical Assoc Ltd

NPI #1578521449 in Kettering, Ohio

Provider Information

NPI Number: 1578521449
Entity Type: Organization
Organization Name: Premier Integrated Medical Assoc Ltd
Primary Specialty: Internal Medicine
Enumeration Date: May 2, 2006
Last Updated: Jul 15, 2019

Practice Location

Address: 540 LINCOLN PARK BLVD
Address 2: SUITE 200
City: Kettering
State: Ohio
ZIP Code: 45429-6401
Phone: (937) 293-1117

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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