Provider Demographics
NPI:1275290363
Name:PLESS, DARRYL J SR
Entity Type:Individual
Prefix:
First Name:DARRYL
Middle Name:J
Last Name:PLESS
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25770 BRIARDALE AVE
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-2262
Mailing Address - Country:US
Mailing Address - Phone:216-577-1645
Mailing Address - Fax:
Practice Address - Street 1:25770 BRIARDALE AVE
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-2262
Practice Address - Country:US
Practice Address - Phone:216-577-1645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist