| NPI | 1639264351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW COOK Physician 614-871-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH 57620) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |