| NPI | 1063490803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURU REDDY CEO 740-653-9476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 35041941) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2012-10-15 |