Organization
SPORTSCARE PHYSICIANS
Active
Organization
SPORTSCARE PHYSICIANS
Active
Parent organization
THE TOLEDO HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE TOLEDO HOSPITAL
Authorized official
LORI MCCUNE (CREDENTIALING COORDINATOR)
(419) 824-7264
Entity
Organization
Contact information
Practice address
2865 N REYNOLDS RD STE 140, TOLEDO, OH 43615-2069
(419) 578-7590
(419) 537-5605
Mailing address
2865 N REYNOLDS RD STE 140, TOLEDO, OH 43615-2069
(419) 578-7590
(419) 537-5605
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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