NPI | 1093840993 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA WALKER Practice Administrator 330-334-6229 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35050673F) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2016-10-07 |