| NPI | 1053592899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY MCCARDLE Office Manager 330-869-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 35077014G) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2011-04-18 |