| NPI | 1558702662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KULJU Sports Medicine Corrdinator For Out 614-355-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |