Ontario Medical Associates, Inc.

NPI #1578578233 in Mansfield, Ohio

Provider Information

NPI Number: 1578578233
Entity Type: Organization
Organization Name: Ontario Medical Associates, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jul 30, 2006
Last Updated: Sep 20, 2007

Practice Location

Address: 2007 W 4TH ST
City: Mansfield
State: Ohio
ZIP Code: 44906-1787
Phone: (419) 529-6195

Authorized Official

Name: MRS. TRICIA ANN CARROLL
Title: OFFICE MANAGER
Phone: (419) 529-6195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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