Organization
TOM VIOLAND, D.O. MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E VIOLAND D.O. (OWNER)
(330) 491-9797
Entity
Organization
Contact information
Practice address
4088 HOLIDAY ST NW, CANTON, OH 44718-2513
(330) 491-9797
(330) 491-9820
Mailing address
4088 HOLIDAY ST NW, CANTON, OH 44718-2513
(330) 491-9797
(330) 491-9820
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
34.001130
OH
208D00000X
General Practice Physician
Primary
34.001130
OH
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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