| NPI | 1508046038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M MONTGOMERY Owner/President 330-453-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35029375) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-12-03 |