Center For Advanced Vein Care LLC
Emergency Medicine in Mentor, OH. Organization (NPI-2).
NPI number1477979391
StatusActive
Last updated in NPPESSep 9, 2015
Details
- NPI
- 1477979391
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Advanced Vein Care LLC
- Organization subpart
- No
- Enumeration date
- Mar 17, 2014
- Last updated
- Sep 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 35074522 | OH | Yes |
Practice location
7200 Mentor AvenueMentor, OH 44060
Phone 440-710-1140
Mailing address
7200 Mentor AvenueMentor, OH 44060
Phone 440-710-1140
Authorized official
Sonja Stiller
President
4407101140
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