| NPI | 1215576087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CARLETTI VP Of Operations 330-727-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2020-11-16 |