| NPI | 1285692228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE SMITH Director, Corporate Credentialing 614-293-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-11-30 |