Organization
UNIVERSITY PRIMARY CARE PRACTICES
Active
Other names
UHMP - PEDIATRIC PROFESSIONALS
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE RIDDLE (DIRECTOR OF BILLING SERVICES)
(216) 692-1956
Entity
Organization
Contact information
Practice address
18660 BAGLEY RD STE 407, CLEVELAND, OH 44130-3483
(216) 383-0100
(216) 383-6481
Mailing address
PO BOX 74658, CLEVELAND, OH 44194-0741
(216) 383-6480
(216) 383-6745
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
09/18/2007
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