| NPI | 1376700567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA MANFULL Administrative Assistant 330-454-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |