Marymount Primary Care Services, Inc.
NPI #1902097751 in Independence, Ohio
Provider Information
- NPI Number
- 1902097751
- Entity Type
- Organization
- Organization Name
- Marymount Primary Care Services, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 7, 2007
- Last Updated
- May 28, 2008
Practice Location
- Address
- 6701 ROCKSIDE RD
- Address 2
- SUITE 260
- City
- Independence
- State
- Ohio
- ZIP Code
- 44131-2358
- Phone
- (216) 369-2525
Authorized Official
- Name
- PETER P WALCHANOWICZ
- Title
- PRACTICE MANAGER
- Phone
- (440) 543-8855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Family Medicine |
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