Organization · Type 2 NPI
Western Reserve Vascular Institute
Vascular Surgery Physician · Boardman, OH
NPI number
1104082031
Active
Practice location
813 Kentwood Dr
Boardman, OH 44512-5004
Fax (330) 953-0313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 34-008446 (OH) |
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2 other providers at this address
Other vascular surgery physician providers in Boardman
About NPI 1104082031
Western Reserve Vascular Institute's National Provider Identifier is 1104082031, issued on Jul 30, 2008. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Boardman, OH. The record was last updated on Jun 6, 2014.