NPI 1679741227
Premier Integrated Medical Assoc. LTD
Practice location
- Address
- 500 Lincoln Park Blvd Suite 110, Kettering, OH 45429-3492
- Phone
- (937) 312-8155
- Fax
- (937) 293-9231
Authorised official
- Name
- Mark Couch
- Title
- President
- Phone
- (937) 898-3600
Registered specialties
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
Registry record
- NPI
- 1679741227
- Entity type
- Organization
- NPI issued
- 18 Feb 2008
- Record last updated
- 18 Feb 2008
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.