| NPI | 1265617005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY BRIAN VARNEY Doctor/Owner 740-653-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 207Q00000X) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2012-08-27 |