Organization
ST CYRIL PAIN CLINIC
Active
Parent organization
ST CYRIL PAIN CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST CYRIL PAIN CLINIC
Authorized official
GEORGE NAGUIB ANDREWS M.D. (OWNER)
(216) 509-0842
Entity
Organization
Contact information
Practice address
2600 ELM RD NE, CORTLAND, OH 44410-9393
(330) 729-0111
(330) 729-1333
Mailing address
909 SAHARA TRL, STE B, YOUNGSTOWN, OH 44514-3691
(330) 729-0111
(330) 729-1333
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
35090324
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000612329
ANTHEM BLUE CROSS/BLUE SHIELD OF OHIO
OH
Enumeration date
04/21/2009
Last updated
11/02/2012
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