| NPI | 1528050945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L KHOURY President 740-353-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35-84596) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35-06-5158-K) |
| 363AS0400X Physician Assistant, Surgical (Licence: OH 50-00-1711) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2011-01-27 |