Organization · Type 2 NPI
Ontario Minor Medical, LLC
Medical Physician Assistant · Ontario, OH
NPI number
1609504794
Active
Practice location
3401 Park Ave W
Ontario, OH 44906-1047
Fax (567) 247-0527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
About NPI 1609504794
Ontario Minor Medical, LLC's National Provider Identifier is 1609504794, issued on Aug 8, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ontario, OH. The record was last updated on Aug 8, 2022.