Organization
ADO HEALTH SERVICES INC
Active
Other names
Doctors Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY LEE NEUENDROF D.O. (MEDICAL DIRECTOR)
(330) 629-2888
Entity
Organization
Contact information
Practice address
1011 BOARDMAN-CANFIELD RD., YOUNGSTOWN, OH 44512-4226
(330) 629-2888
(330) 629-2946
Mailing address
1011 BOARDMAN-CANFIELD RD., YOUNGSTOWN, OH 44512-4226
(330) 629-2888
(330) 629-2946
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071748100003
—
PA
05
—
0311344
—
OH
01
—
36D2106526
CLIA WAIVER
OH
Enumeration date
05/22/2006
Last updated
02/12/2016
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