| NPI | 1205043890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS W COPPEL Owner 614-880-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-06-24 |