NPI | 1578799417 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN MCCLAIN CEO 330-754-4431 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
363LF0000X Nurse Practitioner, Family | |
363LG0600X Nurse Practitioner, Gerontology | |
364SA2200X Clinical Nurse Specialist, Adult Health | |
Enumeration Date | 2009-06-05 |
Last Update Date | 2023-10-25 |