Individual
BLAINE AARON CONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7590 AUBURN RD, CONCORD TOWNSHIP, OH 44077-9176
(440) 375-8100
Mailing address
7590 AUBURN RD, CONCORD TOWNSHIP, OH 44077-9176
(440) 375-8100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.149837
OH
Other
Enumeration date
03/24/2021
Last updated
07/22/2024
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