Park Avenue Family Practice INC

NPI #1760649750 in London, Ohio

Provider Information

NPI Number: 1760649750
Entity Type: Organization
Organization Name: Park Avenue Family Practice INC
Primary Specialty: Family Medicine
Enumeration Date: May 19, 2008
Last Updated: May 19, 2008

Practice Location

Address: 55 PARK AVE
Address 2: STE 250
City: London
State: Ohio
ZIP Code: 43140-1121
Phone: (740) 852-0938

Authorized Official

Name: KATHERINE BINNS, D O
Title: PRESIDENT
Phone: (740) 852-0938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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