| NPI | 1497939425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALAN SPENCER Proprietor 740-732-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-004380) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |