Organization
PETE N POOLOS JR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETE N POOLOS JR. MD (PRESIDENT)
(216) 252-0033
Entity
Organization
Contact information
Practice address
18099 LORAIN AVE, SUITE 204, CLEVELAND, OH 44111-5610
(216) 252-0033
(216) 252-0061
Mailing address
18099 LORAIN AVE, SUITE 204, CLEVELAND, OH 44111-5610
(216) 252-0033
(216) 252-0061
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35026368
OH
Other
Enumeration date
10/08/2010
Last updated
11/11/2010
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