| NPI | 1043522501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BERTANI Physician 614-497-1347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 34002161B) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |