| Debra Ziadeh | |
|
5179 Walnut Rd Buckeye Lake OH 43008-7788 | |
| (740) 438-8863 | |
| (740) 205-0097 |
| Full Name | Debra Ziadeh |
|---|---|
| Speciality | Clinic/center |
| Location | 5179 Walnut Rd, Buckeye Lake, Ohio |
| Authorized Official Name and Position | Debra Ziadeh (OWNER) |
| Authorized Official Contact | 7404388863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Ziadeh Po Box 116 Buckeye Lake OH 43008-0116 Ph: (740) 438-8863 | Debra Ziadeh 5179 Walnut Rd Buckeye Lake OH 43008-7788 Ph: (740) 438-8863 |
| NPI Number | 1164882957 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 03/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164882957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Ohio) | Primary |
Independence Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4595 Walnut Rd Ste L, Buckeye Lake, OH 43008 Phone: 740-822-0080 Fax: 740-822-0081 |