MR. Theodore R Gover, PA-C

NPI #1295104610 in Berea, Ohio

Provider Information

NPI Number: 1295104610
Entity Type: Individual
Name: MR. Theodore R Gover, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant - Medical
Credential: PA-C
Enumeration Date: Sep 15, 2015
Last Updated: Sep 19, 2025

Practice Location

Address: 205 W BAGLEY RD
City: Berea
State: Ohio
ZIP Code: 44017-1886
Phone: (440) 398-8018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X	Primary

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