| NPI | 1265624696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M. MILLER COO 614-944-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0843AS) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2011-03-31 |