Individual
TARA REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7777 ALEXANDRA DR, HUDSON, OH 44236-4523
(440) 225-8197
Mailing address
7777 ALEXANDRA DR, HUDSON, OH 44236-4523
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58.001676
OH
207Q00000X
Family Medicine Physician
58001676
OH
Other
Enumeration date
05/14/2007
Last updated
09/09/2014
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