| NPI | 1558102632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASKEYSA COOLEY Sr Dir Network Relations 614-598-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |