| NPI | 1023360112 |
|---|---|
| Doing Business As | ALTRIA HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JON LEIZMAN President 216-479-9063 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2022-08-15 |