| NPI | 1366880767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MACKENZIE CAMPBELL Owner 614-738-8256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA NT60181111) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |