| NPI | 1558394726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD A COURTER VP O Perations Ohio 614-794-5053 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2022-05-25 |