| NPI | 1013951920 |
|---|---|
| Doing Business As | PRIMEHEALTH PEDIATRICS MENTOR |
| Entity Type | Organization |
| Authorized Contact | ROBERT TRACZ Chief Financial Officer 440-354-1051 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-09-06 |