University Primary Care Practices INC

NPI #1053512210 in Mentor, Ohio

Provider Information

NPI Number: 1053512210
Entity Type: Organization
Organization Name: University Primary Care Practices INC
Primary Specialty: Pediatrics
Enumeration Date: May 29, 2007
Last Updated: Apr 12, 2010

Practice Location

Address: 9000 MENTOR AVE STE 100
City: Mentor
State: Ohio
ZIP Code: 44060-4496
Phone: (440) 974-4411

Authorized Official

Name: MR. STEVE RIDDLE
Title: DIRECTOR OF BILLING SERVICES
Phone: (216) 383-6480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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