| NPI | 1538667944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASLYN VERNON Office Manager 614-771-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.008481) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |