| NPI | 1255613840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY ANN CAMPBELL Office Coordinator 330-857-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34-00-5514) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OH COA.05334.NM) |
| 367A00000X Advanced Practice Midwife (Licence: OH COA.14487.NM) | |
| 207Q00000X Family Medicine (Licence: OH 34.010303) | |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2015-03-09 |