| NPI | 1578870911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL L CROWDER Administrative Director 740-455-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35075041D) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |