| NPI | 1194136440 |
|---|---|
| Doing Business As | MIDOHIODETOX |
| Entity Type | Organization |
| Authorized Contact | THOMAS BRADY Practicing Partner 614-918-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34007181) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |