NPI | 1043466386 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN STEVENSON Business Manager 740-983-0015 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2008-08-18 |
Last Update Date | 2008-08-18 |