Individual
MARIAN BARNETT-RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27100 CHARDON RD, RICHMOND HEIGHTS, OH 44143-1116
(440) 585-6500
(330) 656-5901
Mailing address
5700 DARROW RD, SUITE 106, HUDSON, OH 44236-5021
(330) 656-9304
(330) 656-5901
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
35064229
OH
207R00000X
Internal Medicine Physician
35-064229
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000154564
ANTHEM
OH
01
—
000000322050
ANTHEM
OH
01
—
000000381220
ANTHEM
OH
05
—
0909119
—
OH
Enumeration date
12/28/2005
Last updated
06/11/2008
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