NPI | 1669802559 |
---|---|
Former Legal Business Name | PPH OHIO LLC |
Entity Type | Organization |
Authorized Contact | PAUL FISHBURN Chief Operating Officer 480-646-9020 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261Q00000X Clinic/Center |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
Enumeration Date | 2013-11-14 |
Last Update Date | 2022-04-01 |