| NPI | 1457773210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE C DAVES Office Manager 330-563-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME70243) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-09-05 |