NPI | 1548331960 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL GORDON SCHOWENGERDT Director 740-454-3217 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: OH 35025730) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 35025730) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2020-08-22 |