| NPI | 1336435916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE RIDDLE Diretor Of Billing Services 216-383-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |