| NPI | 1104129584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEPI Credentialing Mgr 740-452-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35062044) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |