Individual
MR. RORY ERIC RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
11100 EUCLID AVE, SEIDMAN CANCER CENTER RM 1830, CLEVELAND, OH 44106-1716
(216) 286-3826
(216) 286-3864
Mailing address
11100 EUCLID AVE, SEIDMAN CANCER CENTER RM 1830, CLEVELAND, OH 44106-1716
(216) 286-3826
(216) 286-3864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.305782-COA1
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.16607-NP
OH
Other
Enumeration date
10/01/2014
Last updated
01/12/2021
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