Individual
DR. PAMELA JEAN HRUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12000 MCCRACKEN RD, SUITE 450, GARFIELD HTS, OH 44125-2964
(216) 663-7355
(216) 663-7193
Mailing address
12000 MCCRACKEN RD, SUITE 450, GARFIELD HTS, OH 44125-2964
(216) 663-7355
(216) 663-7193
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35079762H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000564033
ANTHEM BLUE SHIELD
OH
01
—
000000564656
ANTHEM BLUE SHIELD
OH
05
—
2292611
—
OH
01
—
T79762
SUMMACARE
OH
Enumeration date
02/15/2006
Last updated
10/26/2011
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