ALPHA MEDICAL GROUP LLC NPI 1265893549

NPI Information

ALPHA MEDICAL GROUP LLC is an addiction medicine family medicine in Marion, OH. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. ALPHA MEDICAL GROUP LLC NPI is 1265893549. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alpha Addiction Advocates Treatment Center.

The provider's business location address is:

1043 HARDING MEMORIAL PKWY
MARION, OH
ZIP 43302-315
Phone: (740) 383-4090
Fax: (740) 383-2850

The provider's authorized official is Emad Y Mousa .
The authorized official title is Director and has the following contact phone number (412) 680-6497.

The CLIA number assigned to this NPI record is 36D2110405 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2016 and was last updated on 12/6/2023.

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:

Other Identifiers

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