Organization
PRIMARY HEALTHCARE OF ASHTABULA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE PETERS (CEO)
(440) 563-5028
Entity
Organization
Contact information
Practice address
5266 STATE ROUTE 45, ROME, OH 44085-9404
(440) 563-5028
Mailing address
5266 STATE ROUTE 45, ROME, OH 44085-9404
(440) 563-5028
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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