Individual
EMILY PO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 E BROAD ST, ELYRIA, OH 44035-6400
(216) 844-3800
Mailing address
125 E BROAD ST, ELYRIA, OH 44035-6400
(216) 844-3800
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2020
Last updated
09/03/2024
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