PORTAGE REGIONAL GASTROENTEROLOGY, LLC

RAVENNA, OH
NPI1235328980
Entity TypeOrganization
Authorized ContactMICHAEL S CLINE
Owner
330-296-7256
Organization Subpart ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
Enumeration Date2007-10-18
Last Update Date2007-10-18
Business Address
PORTAGE REGIONAL GASTROENTEROLOGY, LLC
330 N CHESTNUT ST
RAVENNA, OH 44266-2287
Phone number: 330-296-7256
Mailing Address
PORTAGE REGIONAL GASTROENTEROLOGY, LLC
330 N CHESTNUT ST
RAVENNA, OH 44266-2287
Phone number: 330-296-7256