| NPI | 1497791503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C MITCHELL FIELDS Gove RN Ing Body 740-774-9923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OH 0569AS) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2010-04-08 |