| First Team Medical Clinics, Llc | |
|
1654 Mardon Dr Beavercreek OH 45432-1949 | |
| (937) 426-9265 | |
| Not Available |
| Full Name | First Team Medical Clinics, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1654 Mardon Dr, Beavercreek, Ohio |
| Authorized Official Name and Position | Gregory Paul Palkowski (CEO) |
| Authorized Official Contact | 9374269265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Team Medical Clinics, Llc 1654 Mardon Dr Beavercreek OH 45432-1949 Ph: (937) 426-9265 | First Team Medical Clinics, Llc 1654 Mardon Dr Beavercreek OH 45432-1949 Ph: (937) 426-9265 |
| NPI Number | 1487022927 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/14/2015 |
| Medicare PECOS PAC ID | 7719274190 |
|---|---|
| Medicare Enrollment ID | O20160928002648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487022927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 905 (Ohio) | Primary |
| Provider Name | Gregory P Palkowski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356444566 PECOS PAC ID: 1759315658 Enrollment ID: I20080829000367 |
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