NPI | 1295137420 |
---|---|
Entity Type | Organization |
Authorized Contact | HOWARD LEE SHACKELFORD Surgeon 740-695-2443 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: OH 07-102) |
Enumeration Date | 2014-09-18 |
Last Update Date | 2014-09-18 |