Individual provider · Type 1 NPI

Fidel David Banuelos, DO

Student in an Organized Health Care Education/Training Program · Westlake, OH

NPI number 1215670906 Active

Practice location

29000 Center Ridge Rd Ste 150
Westlake, OH 44145-5219

Call (440) 827-5566 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215670906

Fidel David Banuelos, DO's National Provider Identifier is 1215670906, issued on Apr 19, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Westlake, OH. The record was last updated on Apr 19, 2022.