| NPI | 1023301025 |
|---|---|
| Doing Business As | BATH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIEL TAILLARD Director, Finance & Operations 330-344-6095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-006963) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35-050322) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-07-01 |