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NPI Code Detail

MEDICARE: MRS. RUTH LYNETTE SAGER PA-C

MEDICARE: MRS. RUTH LYNETTE SAGER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant50.003413OH

General Provider Information

NPI Number : 1982972956
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RUTH LYNETTE SAGER PA-C
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-0733
Fax Number : 216-444-2153
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-0733
Fax Number : 216-444-2153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2011
Last Update Date : 12/06/2011

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