Organization · Type 2 NPI

Individual

Preferred Provider Organization · Canton, OH

NPI number 1720537780 Active

Practice location

1111 Gonder Avenue SE
Canton, OH 44707

Mailing address

1111 Gonder Ave SE
Canton, OH 44707-3321

Specialties and licenses

TaxonomyCodeLicense
Preferred Provider Organization Primary 305R00000XNone listed

Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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About NPI 1720537780

Individual's National Provider Identifier is 1720537780, issued on Sep 30, 2016. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Canton, OH. The record was last updated on Sep 30, 2016.