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University Primary Care Practices INC

Internal Medicine, Gastroenterology in Mentor, OH. Organization (NPI-2).

NPI number1003935339
StatusActive
Last updated in NPPESApr 9, 2010

Details

NPI
1003935339
Entity type
Organization (NPI-2)
Legal business name
University Primary Care Practices INC
Organization subpart
No
Enumeration date
Mar 28, 2007
Last updated
Apr 9, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology––Yes

Practice location

9000 Mentor Ave Ste 204
Mentor, OH 44060-4496

Phone 216-383-0100 · Fax 216-383-6481

Mailing address

Po Box 8792
Belfast, ME 04915-8792

Phone 216-383-6776 · Fax 216-383-6745

Authorized official

Steve Riddle
Director Of Billing Services
2163836480

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