NPI | 1275981185 |
---|---|
Entity Type | Organization |
Authorized Contact | EUGENE M BOMGARDNER CEO 614-947-1320 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2016-06-01 |
Last Update Date | 2022-10-07 |