| Premier Physicians Of Central Ohio, Llc | |
|
4075 W Dublin Granville Rd Dublin OH 43017-1436 | |
| (614) 210-0541 | |
| Not Available |
| Full Name | Premier Physicians Of Central Ohio, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4075 W Dublin Granville Rd, Dublin, Ohio |
| Authorized Official Name and Position | Sarah Hope Bonza (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6148130764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Physicians Of Central Ohio, Llc 3136 Kingsdale Ctr Ste 126 Upper Arlington OH 43221-2000 Ph: () - | Premier Physicians Of Central Ohio, Llc 4075 W Dublin Granville Rd Dublin OH 43017-1436 Ph: (614) 210-0541 |
| NPI Number | 1245645993 |
|---|---|
| Provider Enumeration Date | 06/20/2014 |
| Last Update Date | 07/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245645993 | NPI | - | NPPES |
| 2780647 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35087348 (Ohio) | Primary |
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