Organization · Type 2 NPI
Fountain City Medical Clinic Inc
General Practice Physician · Bryan, OH
NPI number
1083886915
Active
Practice location
324 W High St
Bryan, OH 43506-1614
Fax (419) 636-0632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 35033085 (OH) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Bryan
About NPI 1083886915
Fountain City Medical Clinic Inc's National Provider Identifier is 1083886915, issued on Apr 1, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bryan, OH. The record was last updated on Apr 1, 2008.