| Needmore Road Primary Care | |
|
1530 Needmore Rd Suite 200 Dayton OH 45414-3969 | |
| (937) 278-5854 | |
| (937) 278-5864 |
| Full Name | Needmore Road Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1530 Needmore Rd, Dayton, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (PRESIDENT/CEO) |
| Authorized Official Contact | 9372088213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Needmore Road Primary Care 1530 Needmore Rd Suite 200 Dayton OH 45414-3969 Ph: (937) 278-5854 | Needmore Road Primary Care 1530 Needmore Rd Suite 200 Dayton OH 45414-3969 Ph: (937) 278-5854 |
| NPI Number | 1851627228 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 11/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851627228 | NPI | - | NPPES |
| 2224597 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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