Unknown Individual – General Practice Physician, NPI 1992714679
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
119 MAPLE ST
MARIETTA, OH 457502742
Phone: (740) 376-1520
Fax: (740) 376-1525
Type: Mailing
324, West High Street, Bryan Downtown Historic District, Bryan, Pulaski, Williams County, Ohio, 43506, United States
BRYAN, OH 435061614
Phone: (419) 636-2525
Fax: (419) 636-0632
Type: Location
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 45750)
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