| NPI | 1245273911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY J DURBIN Office Manger 330-682-3075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34002356) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34008128) |
| 207Q00000X Family Medicine (Licence: OH 34008892) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OH 34002743) | |
| 207Q00000X Family Medicine (Licence: OH 34006265) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2013-12-09 |