NPI | 1518583855 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS DOYLE Medical Director 614-362-2031 |
Organization Subpart ? | No |
Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2020-06-23 |
Last Update Date | 2025-05-18 |