| NPI | 1659413839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. ROBERT POLSTER President 614-866-8077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35031032) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |