| NPI | 1508996539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ROTHSTEIN Executive Director 740-592-4491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2016-04-06 |