| NPI | 1619400033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P CONROY Medical Director 614-760-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |