| NPI | 1124244629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI A MILLER Office Manager 614-527-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 35063791) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-06-18 |