| NPI | 1225229586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE W RYCKMAN Secretary/Treasurer 740-687-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 048474) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |