| NPI | 1144533407 |
|---|---|
| Former Legal Business Name | VAXCARE OHIO LLC |
| Entity Type | Organization |
| Authorized Contact | CASEY DELOACH President 888-829-8550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2024-10-21 |