COLBY DALE DECAPUA

CLEVELAND, OH
NPI1912288705
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50.003292)
Enumeration Date2011-09-07
Last Update Date2011-09-07
Business Address
Mr. COLBY DALE DECAPUA PA-C
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 216-444-3743
Mailing Address
Mr. COLBY DALE DECAPUA PA-C
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: