| NPI | 1154509073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA W JENISON Office Manageer 740-779-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35069046) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-29 |