NPI | 1548403504 |
---|---|
Other Name | UTP STUDENT SERVICES |
Entity Type | Organization |
Authorized Contact | TRACEY BERRY Director, Medical Staff Services 419-383-5330 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35076864) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35061999) |
Enumeration Date | 2009-04-07 |
Last Update Date | 2024-02-22 |