# DVA CLEVELAND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982054912
- **Authorized official:** DR. DANAE LOWELL D.P.M (RESIDENCY DIRECTOR)
- **Authorized official phone:** (216) 791-3800

## Contact information

- **Practice address:** 10701 EAST BLVD, CLEVELAND, OH 44106-1702
- **Practice address phone:** (216) 791-3800
- **Mailing address:** 10701 EAST BLVD, CLEVELAND, OH 44106-1702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 06/21/2016
- **Last updated:** 06/21/2016