| NPI | 1356613194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LYNN RALSTON C RN P 330-965-1847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA AR2783199) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |