| NPI | 1326714288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG STEVEN BERG Managing Member 614-468-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2022-06-01 |