NPI | 1326237140 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA D. BURGESS Practice Administrator 440-919-0180 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35036076C) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2024-10-04 |