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General NPI Number Information
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NPI Number | 1740502418
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Entity Type | Organization
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Legal Business Name | PAUL W. CRAVEN, M.D., INC.
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 4859 DOVER CENTER RD SUITE 7
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3184
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Country | US
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Telephone | 440-734-4090
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Fax | 440-734-2231
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Provider Business Mailing Address
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Address Line | 4859 DOVER CENTER RD SUITE 7
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3184
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Country | US
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Telephone | 440-734-4090
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Fax | 440-734-2231
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | DR. PAUL WILLIAM CRAVEN
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Credential | M.D.
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Telephone | 440-734-4090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35046184
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License Number State | OH
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