NPI | 1093845893 |
---|---|
Entity Type | Organization |
Authorized Contact | LENORA ARLENE FITTON Owner 740-335-0886 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 34005989) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-08-22 |