University Primary Care Practices, INC

NPI #1861861544 in Ashtabula, Ohio

Provider Information

NPI Number: 1861861544
Entity Type: Organization
Organization Name: University Primary Care Practices, INC
Primary Specialty: Podiatrist
Enumeration Date: Sep 23, 2015
Last Updated: Sep 23, 2015

Practice Location

Address: 2131 LAKE AVE
Address 2: STE 1
City: Ashtabula
State: Ohio
ZIP Code: 44004-3466
Phone: (440) 998-0011

Authorized Official

Name: SHERYL JOHNSON
Title: PROVIDER ENROLMENT MANAGER
Phone: (216) 358-2370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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