Crystal Clinic, Inc.

NPI #1457966327 in Coventry Township, Ohio

Provider Information

NPI Number: 1457966327
Entity Type: Organization
Organization Name: Crystal Clinic, Inc.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Sep 9, 2020
Last Updated: Sep 9, 2020

Practice Location

Address: 2383 S MAIN ST STE D106
City: Coventry Township
State: Ohio
ZIP Code: 44319-1190
Phone: (330) 670-4046

Authorized Official

Name: DIANE COZZONE
Title: CREDENTIALING COORDINATOR
Phone: (330) 668-6785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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