| Advanced Medical Group | |
|
10050 Innovation Dr Suite 200 Miamisburg OH 45342-4931 | |
| (937) 558-3208 | |
| (937) 558-3248 |
| Full Name | Advanced Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 10050 Innovation Dr, Miamisburg, Ohio |
| Authorized Official Name and Position | Timothy Y Ko (CFO) |
| Authorized Official Contact | 9375583208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Group 10050 Innovation Dr Suite 200 Miamisburg OH 45342-4931 Ph: (937) 558-3208 | Advanced Medical Group 10050 Innovation Dr Suite 200 Miamisburg OH 45342-4931 Ph: (937) 558-3208 |
| NPI Number | 1457384380 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 06/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457384380 | NPI | - | NPPES |
| 2639630 | Medicaid | OH | |
| DE7779 | Other | RAILROAD MEDICARE |
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