Organization
CONSORTIUM CONCEPTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J CANNONE D.O. (OWNER)
(330) 328-4570
Entity
Organization
Contact information
Practice address
554 HERITAGE WOODS DR, COPLEY, OH 44321-2746
(330) 328-4570
(888) 354-1076
Mailing address
554 HERITAGE WOODS DR, COPLEY, OH 44321-2746
(330) 328-4570
(888) 354-1076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3128289
—
OH
Enumeration date
01/04/2011
Last updated
05/08/2017
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