Organization
CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J FERRY (PRESIDENT/CEO)
(330) 670-4152
Entity
Organization
Contact information
Practice address
4466 FULTON DR NW, CANTON, OH 44718-2864
(330) 668-4065
(330) 668-4082
Mailing address
PO BOX 72434, CLEVELAND, OH 44192-0002
(330) 668-4040
(330) 664-0694
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
10/13/2021
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