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NPI Code Detail

MEDICARE: DOCTORS PRIMARY CARE - GALLOWAY, INC.

MEDICARE: DOCTORS PRIMARY CARE - GALLOWAY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184635054
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTORS PRIMARY CARE - GALLOWAY, INC.
Provider Business Mailing Address
First Line : 990 GALLOWAY RD
Second Line :
City : GALLOWAY
State : OH
Zip : 43119-8293
Country : US
Telephone Number : 614-851-9585
Fax Number : 614-851-9586
Provider Business Practice Location Address
First Line : 990 GALLOWAY RD
Second Line :
City : GALLOWAY
State : OH
Zip : 43119-8293
Country : US
Telephone Number : 614-851-9585
Fax Number : 614-851-9586
Authorized Official
Title or Position : OFFICE MANAGER
Name : ROBERT STRAVELER
Credential :
Telephone Number : 614-367-1679
Provider Enumeration Date : 08/10/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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Practice Location Address:
990 GALLOWAY RD
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43119-8293
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1083622724 — JOCELYN F BOLLINS D.O.
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1699788497 — DR. SAIJAL G LIGAS M.D.
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1093812927 — TAN THAI INC
Practice Location Address:
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1144411232 — DR. BRIJESH M. PATEL D.D.S.
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1669748844 — JEREMY THOMAS WILKS M.D.
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Directions to “DOCTORS PRIMARY CARE - GALLOWAY, INC. ” Practice Location

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