# UNIVERSITY PRIMARY CARE PRACTICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UNIVERSITY GASTROENTROLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417070046
- **Authorized official:** STEVE RIDDLE (DIRECTOR OF BILLING SERVICES)
- **Authorized official phone:** (216) 383-6480

## Contact information

- **Practice address:** 1611 S GREEN RD STE 065, SOUTH EUCLID, OH 44121-4128
- **Practice address phone:** (440) 708-1555
- **Practice address fax:** (440) 708-1515
- **Mailing address:** PO BOX 8792, BELFAST, ME 04915-8792
- **Mailing address phone:** (440) 708-1555
- **Mailing address fax:** (440) 708-1515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 04/08/2010