Individual
JONI S CANBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7600 SOUTHERN BLVD, SUITE 1, BOARDMAN, OH 44512-6085
(330) 629-8466
Mailing address
PO BOX 92423, CLEVELAND, OH 44193-0003
(330) 629-8466
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34003959
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0602879
—
OH
Enumeration date
08/11/2005
Last updated
11/19/2012
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