Unknown Individual – General Practice Physician, NPI 1194755157
General Practice Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4080, Fairway Drive, Southern Hills, Starr's Corners, Canfield Township, Mahoning County, Ohio, 44406, United States
CANFIELD, OH 444069056
Phone: (330) 507-2483
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44406)
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