| NPI | 1407985724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS A POPE Owner 740-689-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35 06 7069 P) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35 06 7069 P) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2007-10-19 |