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Organization
UNIVERSITY OF TOLEDO PHYSICIANS LLC
Active
Organization
UNIVERSITY OF TOLEDO PHYSICIANS LLC
Active
Parent organization
UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC
Authorized official
TRACEY BERRY (DIRECTOR, MEDICAL STAFF SERVICES)
(419) 383-5330
Entity
Organization
Contact information
Practice address
3000 ARLINGTON AVE, TOLEDO, OH 43614-2595
(419) 383-5000
Mailing address
4510 DORR ST # MS 840, TOLEDO, OH 43615-4040
(419) 383-5330
(419) 383-6235
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
OH
207L00000X
Anesthesiology Physician
—
OH
207R00000X
Internal Medicine Physician
Primary
—
OH
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
OH
208000000X
Pediatrics Physician
—
OH
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P0800X
Psychiatry Physician
—
OH
2085R0202X
Diagnostic Radiology Physician
—
OH
208600000X
Surgery Physician
—
OH
208800000X
Urology Physician
—
OH
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2120903
—
OH
Enumeration date
09/23/2005
Last updated
06/25/2024
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