| NPI | 1003220187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR J JOCHEM Medical Director 614-754-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2018-11-08 |