Organization
UNIVERSITY HOSPITALS MEDICAL PRACTICES INC
Active
Other names
NORTHEST PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE RIDDLE (DIRECTOR OF BILLING SERVICES)
(216) 383-6480
Entity
Organization
Contact information
Practice address
4212 STATE ROUTE 306 STE 304, WILLOUGHBY, OH 44094-9248
(440) 946-7391
(440) 946-7594
Mailing address
PO BOX 74312, CLEVELAND, OH 44194-0002
(216) 383-0100
(216) 383-6745
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0191797
—
OH
Enumeration date
05/25/2007
Last updated
09/04/2007
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