| NPI | 1447126396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALLEN JONES General Surgon 330-206-3670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |