| NPI | 1497740617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK T BOYLAN Owner / Physician 440-205-9119 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0743A5) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-03-02 |