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Organization
UNIVERSITY PRIMARY CARE PRACTICES, INC
Active
Organization
UNIVERSITY PRIMARY CARE PRACTICES, INC
Active
Other names
UHMP Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL JOHNSON (PROVIDER ENROLMENT MANAGER)
(216) 358-2370
Entity
Organization
Contact information
Practice address
2131 LAKE AVE, STE 1, ASHTABULA, OH 44004-3466
(440) 998-0011
(440) 998-0095
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(440) 998-0011
(440) 998-0095
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
OH
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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