| NPI | 1639236102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE A POPE Practice Administrator 614-889-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35081127) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35059012) |
| 208000000X Pediatrics (Licence: OH 35078015) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |