| NPI | 1003146481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C MITCHELL FIELDS Owner 740-774-9923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0569AS) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-03-04 |