Individual
MR. CORY A TEPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 OH-44, ROOTSTOWN, OH 44272
(234) 867-7676
Mailing address
1450 FOREST DR, BARBERTON, OH 44203-7636
(330) 612-5804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0032700
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0032700
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
0032700
OH
Other
Enumeration date
02/28/2023
Last updated
03/15/2023
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