| NPI | 1023869088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ELIZABETH REESE Director Of Provider Enrollment 330-493-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |