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Individual

DR. GREGORY CLELL RIFFLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8140 NORTON PKWY STE 110, MENTOR, OH 44060-6017
(440) 255-1115
(440) 255-1550
Mailing address
8140 NORTON PKWY STE 110, MENTOR, OH 44060-6017
(440) 255-1115
(440) 255-1550

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-04-2489-R
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000126784
ANTHEM
OH
01
104703
KAISER
01
1240023
UNITED HEALTH CARE
OH
01
180010464
RAILROAD MEDICARE
OH
01
34158
HEALTH DESIGN
OH
Enumeration date
06/01/2005
Last updated
08/19/2024
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