Sycamore Primary Care Group

NPI #1871548164 in Miamisburg, Ohio

Provider Information

NPI Number: 1871548164
Entity Type: Organization
Organization Name: Sycamore Primary Care Group
Primary Specialty: Internal Medicine
Enumeration Date: May 24, 2006
Last Updated: Oct 26, 2015

Practice Location

Address: 2115 LEITER RD
City: Miamisburg
State: Ohio
ZIP Code: 45342-3659
Phone: (937) 384-6842

Authorized Official

Name: MR. TIMOTHY Y KO
Title: CFO
Phone: (937) 558-3208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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