| NPI | 1245569532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMBER C COPPINGER Owner/Physician 740-594-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 34007281) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |