Richard A. Statesir,md Inc.

NPI #1699090936 in Lakewood, Ohio

Provider Information

NPI Number: 1699090936
Entity Type: Organization
Organization Name: Richard A. Statesir,md Inc.
Primary Specialty: Ophthalmology
Enumeration Date: Mar 30, 2010
Last Updated: Feb 10, 2012

Practice Location

Address: 14701 DETROIT AVE
Address 2: SUITE 280
City: Lakewood
State: Ohio
ZIP Code: 44107-4115
Phone: (216) 228-9122

Authorized Official

Name: RICHARD A. STATESIR, MD
Title: PHYSICIAN
Phone: (216) 228-9122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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