NPI | 1902475957 |
---|---|
Doing Business As | THE DOC POWERED BY PREMISE HEALTH |
Entity Type | Organization |
Authorized Contact | JONATHAN LEIZMAN President 216-479-9063 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-06-23 |
Last Update Date | 2022-10-13 |