| NPI | 1104094069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA S BROWN Billing Specialist 614-497-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35057152N) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |