NPI | 1427316637 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE POLO Operations Manager 440-234-8833 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35038665) |
Enumeration Date | 2012-04-25 |
Last Update Date | 2012-04-25 |