| NPI | 1366558942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J KALCHIK President 740-455-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34003310) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34004852) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |