| NPI | 1497766554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN A HOLDREN Physician Owner Of Practice 330-386-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34006738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 0S009111L) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-09-21 |