Individual
DR. TAMYRA L MOUGINIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.B.A.
Contact information
Practice address
13500 PEARL RD, STRONGSVILLE, OH 44136-3400
(440) 572-3733
Mailing address
13500 PEARL RD, STRONGSVILLE, OH 44136-3400
(440) 572-3733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35058913
OH
207R00000X
Internal Medicine Physician
35-05-8913
OH
208VP0000X
Pain Medicine Physician
Primary
35-058913
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2510929
—
OH
Enumeration date
08/02/2005
Last updated
05/31/2011
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