| NPI | 1427806421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE PRISTAS President 740-972-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2025-03-24 |