| NPI | 1669896239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C BOURLAND CFO 614-442-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH PT008883) |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-06-03 |