| NPI | 1366433351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEASON MCCARY Chief Operating Officer 330-869-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2023-07-10 |