Westshore Primary Care Assoc., INC.
Obstetrics & Gynecology in Westlake, OH. Organization (NPI-2).
NPI number1013210079
StatusActive
Last updated in NPPESDec 14, 2010
Details
- NPI
- 1013210079
- Entity type
- Organization (NPI-2)
- Legal business name
- Westshore Primary Care Assoc., INC.
- Organization subpart
- No
- Enumeration date
- Dec 14, 2010
- Last updated
- Dec 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Practice location
29325 Health Campus DrSuite 1
Westlake, OH 44145-8201
Phone 440-835-6996 · Fax 440-808-9738
Mailing address
26908 Detroit RdSuite 301
Westlake, OH 44145-2398
Phone 440-617-1823 · Fax 440-617-0884
Authorized official
Misty A Blaylock
Credentialing Coordinator
4408926406
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