NPI | 1609206564 |
---|---|
Former Legal Business Name | PPH OHIO LLC |
Entity Type | Organization |
Authorized Contact | DOUG SHACKELL Director Of Finance 480-646-9024 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
Enumeration Date | 2013-11-13 |
Last Update Date | 2016-07-12 |