| NPI | 1417932294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE LUCEY COO 740-454-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2022-03-25 |