| NPI | 1093777872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA J MASHBURN Corporate Secretary/ Office Manager 330-482-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35075832) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-08-22 |