Individual
MR. CAMERON BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13207 RAVENNA RD, CHARDON, OH 44024-9523
(216) 844-7378
Mailing address
13207 RAVENNA RD, CHARDON, OH 44024-1686
(216) 844-7378
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1164435
OH
Other
Enumeration date
11/18/2019
Last updated
07/09/2022
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