Westshore Primary Care Assoc INC

NPI #1609983600 in Elyria, Ohio

Provider Information

NPI Number: 1609983600
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: 5323 MEADOW LANE
City: Elyria
State: Ohio
ZIP Code: 44035
Phone: (440) 934-0276

Authorized Official

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

Specialties & Taxonomy Codes

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

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