Organization
COMPLETE FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON M BARILLARE M.D. (PRESIDENT)
(330) 729-9514
Entity
Organization
Contact information
Practice address
7000 SOUTH AVE, SUITE 2, BOARDMAN, OH 44512-3644
(330) 729-9514
(330) 729-9591
Mailing address
7000 SOUTH AVE, SUITE 2, BOARDMAN, OH 44512-3644
(330) 729-9514
(330) 729-9591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2840840
—
OH
Enumeration date
05/06/2008
Last updated
06/25/2013
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