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Individual

STEVEN R MORMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4677 FULTON DR NW, CANTON, OH 44718
(330) 433-1322
(330) 497-0667
Mailing address
6046 WHIPPLE AVE NW, NORTH CANTON, OH 44720
(330) 443-1200
(330) 305-5047

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35073237
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2133060
OH
Enumeration date
03/08/2006
Last updated
07/08/2007
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