| NPI | 1366321309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISCINDA SINISGALLI Practice Director 740-633-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| 208VP0000X | |
| 208D00000X General Practice | |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-12-02 |