| NPI | 1063674703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY NICOLAS MORCOS President 330-702-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35. 053082) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2013-08-22 |