| NPI | 1780697664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE RIDDLE Billing Services Upcp 216-383-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |