NPI | 1003015868 |
---|---|
Doing Business As | HOOVER ROAD FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | CHARLES SCOTT HIRTH Owner 614-875-3152 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 46504) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2012-12-29 |