Organization
ESR MEDICATION ASSISTED TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUN D SKYRM (CREDENTIALING)
(330) 773-3544
Entity
Organization
Contact information
Practice address
405 TALLMADGE RD, CUYAHOGA FALLS, OH 44221-3362
(330) 773-3544
(330) 773-3698
Mailing address
405 TALLMADGE RD, CUYAHOGA FALLS, OH 44221-3362
(330) 773-3544
(330) 773-3698
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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