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Organization

VETERANS ADMINISTRATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIGUEL AVENIDO M.D. (RADIOLOGIST)
(330) 489-4600
Entity
Organization

Contact information

Practice address
733 MARKET AVE S, CANTON, OH 44702-2165
(330) 489-4600
Mailing address
2600 WESTDALE RD NW, CANTON, OH 44708-1245
(330) 477-4437

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
35028791
OH

Other

Enumeration date
10/03/2006
Last updated
08/22/2020
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