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Organization

WESTSHORE PRIMARY CARE ASSOC., INC.

Active
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Organization

WESTSHORE PRIMARY CARE ASSOC., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISTY A BLAYLOCK (CREDENTIALING COORDINATOR)
(440) 892-6406
Entity
Organization

Contact information

Practice address
29101 HEALTH CAMPUS DR, SUITE 250, WESTLAKE, OH 44145-5270
(440) 827-5483
(440) 827-5453
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—

Other

Enumeration date
12/14/2010
Last updated
12/14/2010
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