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Organization
RC HASTEDT MD INC
Active
Organization
RC HASTEDT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L BROWN DO (PRESIDENT)
(440) 829-2572
Entity
Organization
Contact information
Practice address
659 BOULEVARD ST, DOVER, OH 44622-2026
(330) 343-3311
Mailing address
125 PELRET PKWY #200, BEREA, OH 44017
(440) 274-5000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2795239
—
OH
Enumeration date
09/13/2007
Last updated
05/15/2008
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