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Organization

PEDIATRIC AND ADOLESCENT UROLOGY INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY PALMER M.D. (OWNER)
(216) 292-2111
Entity
Organization

Contact information

Practice address
14100 CEDAR ROAD, SUITE 280, UNIVERSITY HEIGHTS, OH 44121
(216) 292-2111
Mailing address
14100 CEDAR ROAD, SUITE 280, UNIVERSITY HEIGHTS, OH 44121
(216) 292-2111

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35080080
OH

Other

Enumeration date
09/13/2012
Last updated
09/13/2012
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