| NPI | 1205203395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FORTNEY Chief Physician 740-779-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OH COA 17189 NP) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |