| Superior Med LLC | |
|
10095 Brick Church Rd Cambridge OH 43725-8550 | |
| (740) 435-4022 | |
| (740) 435-4028 |
| Full Name | Superior Med LLC |
|---|---|
| Speciality | General Practice |
| Location | 10095 Brick Church Rd, Cambridge, Ohio |
| Authorized Official Name and Position | Tom Jevas (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7404352404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Med LLC 1251 Clark St Cambridge OH 43725-9612 Ph: (740) 439-0733 | Superior Med LLC 10095 Brick Church Rd Cambridge OH 43725-8550 Ph: (740) 435-4022 |
| NPI Number | 1225080591 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 12/29/2020 |
| Certification Date | 12/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225080591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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