| NPI | 1124416037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE KANE Senior Practice Manager 614-499-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: MO In Process) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |