| NPI | 1437129772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE EBERLY COO 740-788-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OH 0470AS) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |