Individual
JESSICA RUTH PHILPOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, DESK A30, CLEVELAND, OH 44195
(216) 445-7692
(216) 445-3889
Mailing address
9500 EUCLID AVE, DESK A30, CLEVELAND, OH 44195
(216) 445-7692
(216) 445-3889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25308
OK
207R00000X
Internal Medicine Physician
35082649
OH
207RG0100X
Gastroenterology Physician
Primary
25308
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200101820A
—
OK
Enumeration date
09/16/2006
Last updated
08/21/2013
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