NPI | 1457371262 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY JOHN BRIGHT Physician/Owner 740-967-5931 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-003490B) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34-003688V) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2018-10-12 |