| NPI | 1487713632 |
|---|---|
| Doing Business As | GREAT TRAIL FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SUSAN B BARR Office Manager 330-868-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-10 |