Individual
BRANDI PODBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 NORTH AVE, TALLMADGE, OH 44278-2011
(330) 630-9726
Mailing address
60 NORTH AVE, TALLMADGE, OH 44278-2011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007622RX
OH
Other
Enumeration date
01/05/2021
Last updated
06/15/2022
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