| NPI | 1205009107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T CLIFFORD DEVENY President 330-996-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-07-01 |