Individual
CLARA O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C- PA
Contact information
Practice address
5783 WOOSTER PIKE, MEDINA, OH 44256-8816
(330) 725-0569
(330) 662-0258
Mailing address
5783 WOOSTER PIKE, MEDINA, OH 44256-8816
(330) 725-0569
(330) 662-0258
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3025372
—
OH
Enumeration date
01/09/2015
Last updated
04/16/2025
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