Organization
GRADY PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK R GRADY DPM (DPM)
(440) 937-5400
Entity
Organization
Contact information
Practice address
1502 LEAR INDUSTRIAL PKWY, 1A, AVON, OH 44011-1379
(440) 937-5400
(440) 937-5533
Mailing address
20800 WESTGATE MALL, 401, FAIRVIEW PARK, OH 44126-1323
(440) 333-7722
(440) 356-0310
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003597
OH
Other
Enumeration date
05/19/2014
Last updated
03/22/2016
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