| NPI | 1326098609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA STEVENSON Practice Administrator 740-522-5641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RN0300X Internal Medicine, Nephrology | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |