Individual
JASON ICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7007 POWERS BLVD, PARMA, OH 44129-5437
(440) 743-3000
Mailing address
1057 ROCKSIDE RD, PARMA, OH 44134-2700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.014162
OH
Other
Enumeration date
02/12/2018
Last updated
11/24/2021
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