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4211 State Route 44 Ste 130 Rootstown OH 44272-9698 | |
(234) 867-7590 | |
Not Available |
Full Name | |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 4211 State Route 44 Ste 130, Rootstown, Ohio |
Authorized Official Name and Position | Gina Rood (SR IT SYSTEMS ANALYST) |
Authorized Official Contact | 2343125193 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1077 Gorge Blvd Akron OH 44310-2408 Ph: () - | 4211 State Route 44 Ste 130 Rootstown OH 44272-9698 Ph: (234) 867-7590 |
NPI Number | 1942431457 |
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Provider Enumeration Date | 07/31/2009 |
Last Update Date | 07/15/2022 |
Identifier | Type | State | Issuer |
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1942431457 | NPI | - | NPPES |
2981680 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |