Organization · Type 2 NPI
ST Judes Medical Clinic
General Practice Physician · Cleveland, OH
NPI number
1609884592
Active
Practice location
7211 Broadway
Cleveland, OH 44105
Fax (216) 271-0106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 35033404 (OH) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1609884592
ST Judes Medical Clinic's National Provider Identifier is 1609884592, issued on Aug 4, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Cleveland, OH. The record was last updated on Feb 22, 2010.