| NPI | 1386839751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. DISBROW Managing Director 614-432-5438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging |
| 2085D0003X Radiology Diagnostic Neuroimaging | |
| 2085P0229X Radiology Pediatric Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |