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CHARLES S DUVALL AA

Nursing Yellow Pages

Cleveland, Ohio

Provider NPI: 1407878770

Provider Information:
 CHARLES S DUVALL AA


Practice Location:
11100 EUCLID AVE  CLEVELAND, OH 44106 US
Tel: 216-844-7330  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367H00000XPhysician Assistants & Advanced Practice Nursing Providers
Anesthesiologist Assistant
OH67-000109

Other Provider Identifiers:

IssuerNumberStateType
WELLCARE MEDICAID414965OH01
ANTHEM000000515964OH01
BCMH0583328OH01
RAILROAD MEDICAREP00444996OH01
2539917OH05
AETNA7733967OH01
UNISON000000232162OH01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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