Westshore Primary Care Assoc INC

NPI #1801903802 in North Olmsted, Ohio

Provider Information

NPI Number: 1801903802
Entity Type: Organization
Organization Name: Westshore Primary Care Assoc INC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 24, 2006
Last Updated: Jan 12, 2010

Practice Location

Address: 25761 LORAIN RD
Address 2: 2ND FL
City: North Olmsted
State: Ohio
ZIP Code: 44070
Phone: (440) 716-8988

Authorized Official

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

Specialties & Taxonomy Codes

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

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