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50 Blaine Ave Ste 2200 Bedford OH 44146-2709 | |
(440) 232-5400 | |
(440) 232-0084 |
Full Name | |
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Speciality | Family Medicine |
Location | 50 Blaine Ave Ste 2200, Bedford, Ohio |
Authorized Official Name and Position | Steve Riddle (DIRECTOR OF BILLING SERVICES) |
Authorized Official Contact | 2163836480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 8792 Belfast ME 04915-8792 Ph: (440) 232-5400 | 50 Blaine Ave Ste 2200 Bedford OH 44146-2709 Ph: (440) 232-5400 |
NPI Number | 1568590016 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 04/12/2010 |
Identifier | Type | State | Issuer |
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1568590016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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