NPI | 1154587756 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER ANDERSON Incorporator/Sole Shareholder 740-516-4404 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35063586) |
Enumeration Date | 2008-08-03 |
Last Update Date | 2008-08-03 |