Individual
DR. DARRELL LYNNN GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
822 KUMHO DR STE 202, FAIRLAWN, OH 44333-5105
(330) 576-0500
(330) 576-0467
Mailing address
822 KUMHO DR STE 202, FAIRLAWN, OH 44333-5105
(330) 576-0500
(330) 576-0467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34006142OH
OH
208M00000X
Hospitalist Physician
34006142OH
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0382401
—
OH
Enumeration date
04/13/2006
Last updated
08/03/2010
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