Phoenix Internal Medicine, Inc.

NPI #1659676518 in Conneaut, Ohio

Provider Information

NPI Number: 1659676518
Entity Type: Organization
Organization Name: Phoenix Internal Medicine, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Jan 24, 2011
Last Updated: Jan 24, 2011

Practice Location

Address: 224 PARRISH RD.
City: Conneaut
State: Ohio
ZIP Code: 44030-2349
Phone: (440) 593-7360

Authorized Official

Name: THOMAS E. HUNT, D.O.
Title: OWNER/C.E.O.
Phone: (440) 593-7360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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