Westshore Primary Care Assoc INC

NPI #1063529030 in Avon, Ohio

Provider Information

NPI Number: 1063529030
Entity Type: Organization
Organization Name: Westshore Primary Care Assoc INC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 24, 2006
Last Updated: Jan 12, 2010

Practice Location

Address: 2535 HALE ST
Address 2: SUITE A
City: Avon
State: Ohio
ZIP Code: 44011
Phone: (440) 934-8810

Authorized Official

Name: MISTY A BLAYLOCK
Title: CREDENTIALING COORDINATOR
Phone: (440) 892-6406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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