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Organization

PREMIER PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN B BENNET (PRESIDENT)
(440) 871-1717
Entity
Organization

Contact information

Practice address
26040 DETROIT RD, SUITE 7, WESTLAKE, OH 44145-2481
(440) 871-1717
(440) 871-3098
Mailing address
26040 DETROIT RD, SUITE 7, WESTLAKE, OH 44145-2481
(440) 871-1717
(440) 871-3098

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-05-6333
OH

Other

Enumeration date
03/22/2007
Last updated
06/10/2011
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