Westshore Primary Care Assoc., Inc.

NPI #1992034516 in Avon, Ohio

Provider Information

NPI Number: 1992034516
Entity Type: Organization
Organization Name: Westshore Primary Care Assoc., Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Dec 10, 2009
Last Updated: Dec 10, 2009

Practice Location

Address: 32900 DETROIT RD
City: Avon
State: Ohio
ZIP Code: 44011-2018
Phone: (440) 250-8660

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Family Medicine	207Q00000X
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X
Pediatrics	208000000X
Podiatrist	213E00000X
Internal Medicine	207R00000X	Primary

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