Organization
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON
Active
Other names
Akron Children's Hospital Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN DAVIS (REIMBURSEMENT MANAGER)
(330) 543-4166
Entity
Organization
Contact information
Practice address
6505 MARKET ST, BOARDMAN, OH 44512-3457
(330) 746-8700
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009184610008
—
PA
05
—
3131202
—
OH
Enumeration date
10/22/2010
Last updated
09/02/2014
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