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Organization

UNIVERSITY PRIMARY CARE PRACTICES INC

Active
Other names
UNIVERSITY PREMIER PEDIATRICIANS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVE RIDDLE (DIRECTOR OF BILLING SERVICES)
(216) 383-6480
Entity
Organization

Contact information

Practice address
9000 MENTOR AVE STE 100, MENTOR, OH 44060-4496
(440) 974-4411
(440) 974-4173
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(440) 974-4411
(440) 974-4173

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OH

Other

Enumeration date
05/29/2007
Last updated
04/12/2010
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