Individual
HEATHER LEAH HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSITANT
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 385-8051
Mailing address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006277RX
OH
Other
Enumeration date
03/01/2010
Last updated
07/19/2024
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