Organization
CARDINAL MEDICAL PROVIDER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CAPOBIANCO (OWNER)
(330) 361-9455
Entity
Organization
Contact information
Practice address
4537 EVERHARD RD NW, CANTON, OH 44718-2406
(330) 526-6146
(330) 526-6004
Mailing address
4537 EVERHARD RD NW, CANTON, OH 44718-2406
(330) 526-6146
(330) 526-6004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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