| NPI | 1235658667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARTINELLI Director 614-568-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50002737) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 50002737) | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2019-05-10 |