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NPI Code Detail

MEDICARE: ALPHA MEDICAL SERVICES, LLC

MEDICARE: ALPHA MEDICAL SERVICES, LLC
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
1207R00000XInternal Medicine Physician1585700OH

General Provider Information

NPI Number : 1194785857
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALPHA MEDICAL SERVICES, LLC
Provider Business Mailing Address
First Line : 1087 DENNISON AVE
Second Line : SUITE 200
City : COLUMBUS
State : OH
Zip : 43201-3201
Country : US
Telephone Number : 614-884-0190
Fax Number : 614-389-7075
Provider Business Practice Location Address
First Line : 1087 DENNISON AVE
Second Line : SUITE 200
City : COLUMBUS
State : OH
Zip : 43201-3201
Country : US
Telephone Number : 614-884-0190
Fax Number : 614-884-0192
Authorized Official
Title or Position : PRESIDENT
Name : DR. RONALD L MILLER
Credential : M.D.
Telephone Number : 614-884-0190
Provider Enumeration Date : 03/27/2006
Last Update Date : 11/29/2016

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Directions to “ALPHA MEDICAL SERVICES, LLC ” Practice Location

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