Individual
DANIEL P PRITCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE # E19, CLEVELAND, OH 44195-0001
(216) 444-0181
(216) 445-4552
Mailing address
3967 IDLEWILD DR, ROCKY RIVER, OH 44116-4005
(440) 785-2319
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.005760RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1156882
NCCPA
—
01
—
50.005760RX
OHIO STATE MEDICAL BOARD
OH
Enumeration date
10/10/2018
Last updated
10/19/2018
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