| NPI | 1588958417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE RIDDLE Director Of Billing Services 216-383-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208000000X Pediatrics |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |