NPI | 1295700730 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY A HENCEROTH GATTO President 614-875-6349 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 402712) |
Enumeration Date | 2006-02-20 |
Last Update Date | 2020-08-22 |