Pioneer Physicians Network INC
Family Medicine in Canton, OH. Organization (NPI-2).
NPI number1174296172
StatusActive
Last updated in NPPESJul 27, 2021
Details
- NPI
- 1174296172
- Entity type
- Organization (NPI-2)
- Legal business name
- Pioneer Physicians Network INC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2021
- Certification date
- Jul 27, 2021
- Last updated
- Jul 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
5454 Fulton Dr NwCanton, OH 44718-1727
Phone 330-899-1051 · Fax 330-634-1329
Mailing address
3515 Massillon Rd Ste 300Uniontown, OH 44685-7854
Phone 234-271-3353 · Fax 330-899-9267
Authorized official
Paula Moore
Credentialing Liaision
2342713353
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