State Road Occupational Medical Facility LLC

NPI #1346419066 in Ashtabula, Ohio

Provider Information

NPI Number: 1346419066
Entity Type: Organization
Organization Name: State Road Occupational Medical Facility LLC
Primary Specialty: Specialist
Enumeration Date: Feb 27, 2008
Last Updated: Feb 27, 2008

Practice Location

Address: 600 STATE RD
Address 2: SUITE 166
City: Ashtabula
State: Ohio
ZIP Code: 44004-3933
Phone: (440) 992-9521

Authorized Official

Name: MR. RONALD MCVOY
Title: OWNER/MEMBER
Phone: (440) 992-9521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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