| NPI | 1689862997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN ANDREW BONNER Physician/President 740-454-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34-007216-B) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2011-02-08 |