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Individual

DR. PEDRO C ANLOAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 JOHN GLENN DR, SEVEN HILLS, OH 44131-2930
(440) 816-8744
(440) 816-6421
Mailing address
1200 JOHN GLENN DR, SEVEN HILLS, OH 44131-2930
(216) 338-7796
(216) 265-3609

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
35035322A
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000141286
ANTHEM B LUE SHIELD
OH
05
0206799
OH
Enumeration date
06/04/2006
Last updated
02/07/2008
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