| NPI | 1104075829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD L WATHEN President 740-474-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35077894) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |