| NPI | 1962437947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L. LONGVILLE Chief Acct Officer And Controller 216-636-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-03-31 |