| NPI | 1043215627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY L HYLTON Credentialing Coordinator 614-573-5416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-062660) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35-055344) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35-058287) | |
| 363L00000X Nurse Practitioner (Licence: OH NP-07581) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-07-18 |