| NPI | 1093950560 |
|---|---|
| Doing Business As | MAX SPORTS |
| Entity Type | Organization |
| Authorized Contact | TRACY A HEDGES Credentialing Specialits 614-544-6356 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |