| NPI | 1477745354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L CORDOVA Office Manager 330-652-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35072593) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-05-08 |