Organization
UNIVERSITY HOSPITALS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D MCELROY (VP FINANCE)
(216) 983-3175
Entity
Organization
Contact information
Practice address
1611 S GREEN RD, SUITE 237, SOUTH EUCLID, OH 44121-4128
(216) 844-1000
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
12/20/2006
Last updated
12/30/2010
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