| 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 |