NPI 1245297753

Premier Integrated Medical Assoc LTD

Organisation Family Medicine Physician Beavercreek, OH

Practice location

Address: 2322 Lakeview Dr, Beavercreek, OH 45431
Phone: (937) 426-0106
Fax: (937) 426-7153
Mailing address: 25 Merchant St STE 220 - Attn Credentialing, Cincinnati, OH 45246-3740

Authorised official

Name: Mark a Couch
Title: President
Phone: (937) 898-3600

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Ohio →

Registry record

NPI: 1245297753
Entity type: Organization
NPI issued: 27 Apr 2006
Record last updated: 15 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.