JAY R BLACKMUR

WESTLAKE, OH
NPI1104819028
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: OH  67-000061)
Enumeration Date2005-08-25
Last Update Date2007-07-08
Business Address
-- JAY R BLACKMUR AA
29000 CENTER RIDGE RD
WESTLAKE, OH 44145-5293
Phone number: 440-827-5000
Mailing Address
-- JAY R BLACKMUR AA
19250 BAGLEY RD #101
CLEVELAND, OH 44130-3314
Phone number: 440-891-8800