| NPI Details | |
|---|---|
| NPI | 1790884625 |
| Gender | Female |
| Enumeration Date | 09/21/2006 |
| Last Updated | 07/09/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 3401 ENTERPRISE PKWY SUITE 300 BEACHWOOD OH, 44122-7341, US |
|
| Phone | (216) 221-2878 |
| Fax | |
| Business Location | |
|---|---|
| 3401 ENTERPRISE PKWY SUITE 300 BEACHWOOD OH, 44122-7341, US |
|
| Phone | (216) 221-2878 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 363AS0400X |
| License State | Ohio |
| License Number | 1021833 |
| Remove 1790884625 NPI Number | |
According to our database, Susan Clark Rath PA-C NPI is 1790884625, taxonomy code is 363AS0400X and license number is 1021833, license state is located at Ohio. Susan Clark Rath PA-C physically located at 3401 Enterprise Pkwy, Beachwood OH, 44122-7341. NPI Number Susan Clark Rath PA-C has the Individual type.
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1790884625 NPI number is provided on an as is basis without warranty of any kind. 1790884625 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Clark Rath PA-C are for informational purposes only.
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