Organization
UNIVERSITY HOSPITALS MEDICAL PRACTICES INC
Active
Other names
University Premier Pediatricians
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE RIDDLE (DIRECTOR OF BILLING SERVICES)
(216) 383-6480
Entity
Organization
Contact information
Practice address
18599 LAKE SHORE BLVD STE 100, EUCLID, OH 44119-1099
(216) 383-7800
(216) 383-5376
Mailing address
PO BOX 74568, CLEVELAND, OH 44194-0002
(216) 383-6776
(216) 383-6745
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2383853
—
OH
Enumeration date
02/27/2008
Last updated
02/27/2008
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