| NPI | 1669468278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SULLIVAN President 614-436-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 216 / id 0317AS) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |