Individual
MS. VLASTA VYROUBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
(440) 285-4552
Mailing address
120 FOX HOLLOW DR APT 404, MAYFIELD HEIGHTS, OH 44124-4170
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-02-6384-V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0847589
—
OH
Enumeration date
11/29/2006
Last updated
07/08/2007
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