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Organization

KAISER PERMANENTE

Active
Other names
Ohio Permanente Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
TOM REVIS (VP CFO)
(216) 265-8844
Entity
Organization

Contact information

Practice address
12301 SNOW RD, PARMA, OH 44130
(216) 265-8810
(216) 265-8810
Mailing address
12301 SNOW RD, PARMA, OH 44130
(216) 265-8810
(216) 265-8810

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0211372
OH
Enumeration date
09/14/2006
Last updated
01/30/2008
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