| NPI | 1366484818 |
|---|---|
| Doing Business As | PRIMEHEALTH FAMILY PRACTICE MENTOR |
| Entity Type | Organization |
| Authorized Contact | ROBERT TRACZ Chief Financial Officer 440-354-1051 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-09-06 |