Basic Information
Provider Information
NPI: 1871924944
EntityType: 2
ReplacementNPI:  
OrganizationName: PREMIER PHYSICIANS CENTERS INC
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Mailing Information
Address1: 24651 CENTER RIDGE RD
Address2: SUITE 350
City: WESTLAKE
State: OH
PostalCode: 441455635
CountryCode: US
TelephoneNumber: 4408955056
FaxNumber: 4403332935
Practice Location
Address1: 25200 CENTER RIDGE RD
Address2: SUITE 2400
City: WESTLAKE
State: OH
PostalCode: 441454141
CountryCode: US
TelephoneNumber: 4403315190
FaxNumber: 4403315176
Other Information
ProviderEnumerationDate: 11/27/2013
LastUpdateDate: 11/27/2013
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AuthorizedOfficialLastName: APPEL
AuthorizedOfficialFirstName: DAVID
AuthorizedOfficialMiddleName: B
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 4403330889
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IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332BC3200X  Y SuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment

No ID Information.


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