Westshore Primary Care Assoc INC

NPI #1295842284 in Avon Lake, Ohio

Provider Information

NPI Number: 1295842284
Entity Type: Organization
Organization Name: Westshore Primary Care Assoc INC
Primary Specialty: Family Medicine
Enumeration Date: Aug 24, 2006
Last Updated: Jan 12, 2010

Practice Location

Address: 32730 WALKER ROAD
Address 2: BUILDING H
City: Avon Lake
State: Ohio
ZIP Code: 44012
Phone: (440) 930-4955

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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