Individual
JOHN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(866) 844-2273
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004876RX
OH
Other
Enumeration date
10/28/2016
Last updated
09/26/2018
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