Most Relevant Information
Provider Data
| NPI Number: | 1003435496 |
| Provider Name: | MARTIN RUFUS LEFTRIDGE |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2020 |
| Last Updated: | 04/15/2020 |
Provider Practice Location
4395 W 147TH ST
CLEVELAND
OH
441352007
Practice Location Phone/Fax
| Phone: | 2167275600 |
| Fax: |
Provider Mailing Location
4395 W 147TH ST
CLEVELAND
OH
441352007
Provider Mailing Phone/Fax
| Phone: | 2167275600 |
| Fax: |