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Organization

UNIVERSITY PRIMARY CARE PRACTICES

Active
Other names
DME - OCCUPATIONAL MED WILLOUGHBY
Organization subpart
No

Provider details

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

Contact information

Practice address
960 CLAGUE RD OCC MED SUITE, WESTLAKE, OH 44145
(440) 250-5366
(440) 250-5377
Mailing address
PO BOX 74885, CLEVELAND, OH 44194-2906
(216) 383-6776
(216) 383-6745

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
OH

Other

Enumeration date
03/05/2007
Last updated
02/07/2008
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