Dr MARK A COUCH is a male medical professional, specializing in Family Medicine. He graduated in 1983 from Wright State University School Of Medicine.
PREMIER INTEGRATED MEDICAL ASSOC LTD
235 W NATIONAL RD
VANDALIA
OH
453771969
Tel: 9378983600
| Npi | 1548224314 |
| Pac Id | 1153315429 |
| Professional Enrollment Id | I20100317000167 |
| Last Name | COUCH |
| First Name | MARK |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PREMIER INTEGRATED MEDICAL ASSOC LTD |
| Group Practice Pac Id | 9032101399 |
| Number Of Group Practice Members | 29 |
| Line 1 Street Address | 235 W NATIONAL RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | VANDALIA |
| State | OH |
| Zip Code | 453771969 |
| Phone Number | 9378983600 |
| Hospital Affiliation Ccn 1 | 360133 |
| Hospital Affiliation Lbn 1 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| Hospital Affiliation Ccn 2 | 360051 |
| Hospital Affiliation Lbn 2 | MIAMI VALLEY HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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