| NPI | 1427206432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE SIERA CORLEY Owner 614-875-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35-074253) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-088486) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2014-11-20 |