| NPI | 1427127919 |
|---|---|
| Doing Business As | STONERIDGE ENDOSCOPY CENTER |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN CLOUSE Manager, Provider Enrollment 614-685-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-05-19 |