| NPI | 1063457133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA ROGERS Administrator 740-455-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0575AS) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |