| Primed Physicians | |
|
1900 Composite Dr Kettering OH 45420-1475 | |
| (937) 293-8419 | |
| (937) 293-1545 |
| Full Name | Primed Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 1900 Composite Dr, Kettering, Ohio |
| Authorized Official Name and Position | Mark A Couch (PRESIDENT) |
| Authorized Official Contact | 9378983600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primed Physicians 1900 Composite Dr Kettering OH 45420-1475 Ph: (937) 293-8419 | Primed Physicians 1900 Composite Dr Kettering OH 45420-1475 Ph: (937) 293-8419 |
| NPI Number | 1285690339 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 12/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285690339 | NPI | - | NPPES |
| ========= | Other | TRICARE GROUP NUMBER | |
| 2112958 | Medicaid | OH | |
| CA2478 | Other | OH | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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