Organization
TUSCARAWAS OPEN MRI LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY TROTT THEODOSOPOULOS (ADMINISTRATOR)
(330) 365-2101
Entity
Organization
Contact information
Practice address
340 OXFORD STREET, SUITE 30, DOVER, OH 44622
(330) 364-9966
(330) 364-5134
Mailing address
340 OXFORD STREET, SUITE 30, DOVER, OH 44622
(330) 364-9966
(330) 364-5134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10961C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2555417
—
OH
Enumeration date
05/17/2006
Last updated
04/24/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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