Dr ROMAN DAVIDENKO is a female medical professional, specializing in Family Medicine. She graduated in 2011 from Northeastern Ohio Universities College Of Medicine.
SHC YOUNGSTOWN OHIO OUTPATIENT SERVICES LLC
20 OHLTOWN RD
AUSTINTOWN
OH
445152331
Tel: 3308841500
| Npi | 1366739039 |
| Pac Id | 7911123211 |
| Professional Enrollment Id | I20140722002581 |
| Last Name | DAVIDENKO |
| First Name | ROMAN |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | SHC YOUNGSTOWN OHIO OUTPATIENT SERVICES LLC |
| Group Practice Pac Id | 1850662032 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 20 OHLTOWN RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AUSTINTOWN |
| State | OH |
| Zip Code | 445152331 |
| Phone Number | 3308841500 |
| Hospital Affiliation Ccn 1 | 360055 |
| Hospital Affiliation Lbn 1 | STEWARD TRUMBULL MEMORIAL HOSPITAL, INC |
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| Professional Accepts Medicare Assignment | Y |
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