| NPI | 1497884605 |
|---|---|
| Doing Business As | UH STATE ROAD FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JANNA M KENNEDY Director Med Staff Services & Cred 216-844-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-03-16 |