| Stapp Medical Group | |
|
52 Remick Blvd Springboro OH 45066-9168 | |
| (937) 886-5018 | |
| (937) 886-5100 |
| Full Name | Stapp Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 52 Remick Blvd, Springboro, Ohio |
| Authorized Official Name and Position | Jennifer Williams (OWNER) |
| Authorized Official Contact | 9378865018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stapp Medical Group 52 Remick Blvd Springboro OH 45066-9168 Ph: () - | Stapp Medical Group 52 Remick Blvd Springboro OH 45066-9168 Ph: (937) 886-5018 |
| NPI Number | 1003373242 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 02/26/2019 |
| Medicare PECOS PAC ID | 2466792429 |
|---|---|
| Medicare Enrollment ID | O20190329000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003373242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer D Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063452654 PECOS PAC ID: 5890690499 Enrollment ID: I20031205000554 |
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