| NPI | 1073907309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GIACOMELLI Director Of Operations 614-396-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 1495470) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2019-01-25 |