Premier Integrated Medical Assoc Ltd

NPI #1861450363 in Kettering, Ohio

Provider Information

NPI Number: 1861450363
Entity Type: Organization
Organization Name: Premier Integrated Medical Assoc Ltd
Primary Specialty: Pediatrics
Enumeration Date: May 3, 2006
Last Updated: Jul 15, 2019

Practice Location

Address: 5250 FAR HILLS AVE
City: Kettering
State: Ohio
ZIP Code: 45429-2382
Phone: (937) 433-7991

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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