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Organization

PETER DILLARD MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER DILLARD MD (PRESIDENT)
(216) 321-7116
Entity
Organization

Contact information

Practice address
3237 ORMOND RD, CLEVELAND HEIGHTS, OH 44118-3415
(216) 321-7116
Mailing address
3237 ORMOND RD, CLEVELAND HEIGHTS, OH 44118-3415
(216) 321-7116

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
64175
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0890942
OH
Enumeration date
11/05/2007
Last updated
11/05/2007
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