Organization
RIDGEPARK NURSE PRACTITIONERS LLC
Active
Parent organization
RIDGEPARK MEDICAL ASSOCIATES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIDGEPARK MEDICAL ASSOCIATES, INC.
Authorized official
CHARLES ROBERT KOEPKE M.D. (PRESIDENT)
(216) 749-8276
Entity
Organization
Contact information
Practice address
7575 NORTHCLIFF AVE, SUITE 400, BROOKLYN, OH 44144-3267
(216) 749-8276
Mailing address
7575 NORTHCLIFF AVE, SUITE 400, BROOKLYN, OH 44144-3267
(216) 749-8276
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
02/15/2013
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