Organization
SOUTHWEST GENERAL MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WAGNER (EXECUTIVE DIRECTOR)
(440) 816-4906
Entity
Organization
Contact information
Practice address
18780 BAGLEY RD # 100, CLEVELAND, OH 44130-3304
(440) 816-2850
Mailing address
PO BOX 638269, CINCINNATI, OH 45263-0001
(440) 816-2850
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2238144
—
OH
Enumeration date
01/10/2007
Last updated
02/28/2019
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