| NPI | 1639315062 |
|---|---|
| Doing Business As | PRIMEHEALTH SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ROBERT TRACZ Chief Financial Officer 440-354-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |