NPI | 1346431269 |
---|---|
Entity Type | Organization |
Authorized Contact | RICH SHEPPARD Owner 440-779-4226 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: OH 2874) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2007-08-06 |