| NPI | 1134394968 |
|---|---|
| Doing Business As | COOPER ROAD FAMILY HEALTH |
| Entity Type | Organization |
| Authorized Contact | ANGELA HAMILTON Implementation Specialist 614-546-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |