NPI | 1073787537 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID EDWARD WHITT Provider/Owner 614-920-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 34-00-7003W) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2024-05-30 |