Organization
PIVO PHYSIQ, INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOYE G.C. WILLIAMS M.D. (PHYSICIAN)
(216) 881-5055
Entity
Organization
Contact information
Practice address
11201 SHAKER BLVD, SUITE 328, CLEVELAND, OH 44104-3869
(216) 881-5055
(216) 881-5855
Mailing address
2000 MARLINDALE RD, CLEVELAND, OH 44118-2513
(216) 252-0054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-064135
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0898695
—
OH
Enumeration date
06/03/2008
Last updated
06/03/2008
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