| NPI | 1154475135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA M SONG Office Manager 740-353-3196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 36581) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-06-23 |