| NPI | 1245645993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH HOPE BONZA Medical Director 614-813-0764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35087348) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-07-23 |