MACHUCA MEDICAL NPI 1053861369

NPI Information

MACHUCA MEDICAL is a family medicine in Huber Heights, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MACHUCA MEDICAL NPI is 1053861369. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7371 BRANDT PIKE
SUITE D
HUBER HEIGHTS, OH
ZIP 45424
Phone: (937) 795-1101
Fax: (937) 795-1120

The provider's authorized official is Heather Shaw .
The authorized official title is Operations Manager and has the following contact phone number (937) 795-1101.

The CLIA number assigned to this NPI record is 36D2123219 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/11/2016 and was last updated on 2/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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