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Organization

UNIVERSITY HOSPITALS MEDICAL PRACTICES INC

Active
Other names
University Premier Pediarticians
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE RIDDLE (DIRECTOR OF BILING SERVICES)
(216) 383-6480
Entity
Organization

Contact information

Practice address
22750 ROCKSIDE RD # 302, BEDFORD, OH 44146-1574
(440) 735-2525
(440) 786-2729
Mailing address
PO BOX 74568, CLEVELAND, OH 44194-0002
(216) 383-6776
(216) 383-6745

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2383559
OH
Enumeration date
02/27/2008
Last updated
02/27/2008
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