University Primary Care Practices INC

NPI #1124159512 in Madison, Ohio

Provider Information

NPI Number: 1124159512
Entity Type: Organization
Organization Name: University Primary Care Practices INC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 8, 2007
Last Updated: Apr 12, 2010

Practice Location

Address: 701 N LAKE ST STE 101
City: Madison
State: Ohio
ZIP Code: 44057-3152
Phone: (440) 428-7512

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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