| NPI | 1871872044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE RIDDLE Director Of Billing System 216-383-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |