| NPI | 1104008879 |
|---|---|
| Doing Business As | CUYAHOGA PHYSICIAN NETWORK |
| Entity Type | Organization |
| Authorized Contact | MISTY A BLAYLOCK Credentialing Coordinator 440-892-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2010-01-12 |