NPI | 1053313007 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN TINGLEY Medical Director 614-722-2920 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 334) |
Enumeration Date | 2005-06-02 |
Last Update Date | 2020-08-22 |