Organization
PREMIER PHYSICIANS CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY COOPER (CREDENTIALING & COMPLIANCE SPEC.)
(440) 895-5056
Entity
Organization
Contact information
Practice address
2709 FRANKLIN BLVD #2E, CLEVELAND, OH 44113
(216) 363-2203
(216) 363-2058
Mailing address
20525 CENTER RIDGE RD STE 220, ROCKY RIVER, OH 44116-3424
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119204
—
OH
Enumeration date
12/21/2010
Last updated
12/21/2010
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