| NPI | 1255579132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD A COURTER VP Operations Ohio 614-794-5053 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2022-05-25 |