South Russell Family Practice, Inc.
NPI #1184732067 in Chagrin Falls, Ohio
Provider Information
- NPI Number
- 1184732067
- Entity Type
- Organization
- Organization Name
- South Russell Family Practice, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5192 CHILLICOTHE RD
- Address 2
- SUITE 101
- City
- Chagrin Falls
- State
- Ohio
- ZIP Code
- 44022-4196
- Phone
- (440) 338-3366
Authorized Official
- Name
- DR. MARK N ROOD, MD
- Title
- PRESIDENT
- Phone
- (440) 338-3366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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