| NPI | 1316295884 |
|---|---|
| Doing Business As | INJURY CENTER AT ST. VINCENT HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | MARK R GRUBB Owner 855-644-6724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: OH 3343) |
| Additional Taxonomies | 111NR0400X (Licence: OH 2901) |
| 111NR0400X (Licence: OH 1473) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2013-02-26 |