| NPI | 1003837048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA J GLASS Office Manager 740-453-0680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35039044) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2012-07-06 |