Organization
UNIVERSITY PRIMARY CARE PRACTICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE RIDDLE (DIRECTOR OF BILLING SERVICES)
(216) 383-6480
Entity
Organization
Contact information
Practice address
5850 LANDERBROOK DR STE 301, MAYFIELD HTS, OH 44124-4071
(440) 446-9991
(440) 446-9998
Mailing address
PO BOX 74702, CLEVELAND, OH 44194-0785
(216) 383-0100
(216) 383-6745
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
09/19/2007
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