NPI | 1063928638 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN CARLETTI VP Of Operations 330-727-3530 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
208M00000X Hospitalist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2017-12-19 |
Last Update Date | 2023-08-24 |