| NPI | 1609882836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL BAIN HERRON Medical Director 614-473-9519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35078963) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-11-29 |