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Organization

UNIVERSITY HOSPITALS MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
11100 EUCLID AVE, SUITE 3100, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OH
2084P0800X
Psychiatry Physician
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2691903
OH
Enumeration date
06/22/2011
Last updated
06/22/2011
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