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Organization
SIGNATURE HEALTH, INC
Active
Organization
SIGNATURE HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WOOD (CHIEF FINANCIAL OFFICER)
(440) 953-9999
Entity
Organization
Contact information
Practice address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 953-9999
Mailing address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 953-9999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9321321
MEDICARE PTAN
OH
Enumeration date
05/20/2016
Last updated
05/20/2016
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