NPI | 1699891143 |
---|---|
Other Name | MEDICAL PLAZA |
Entity Type | Organization |
Authorized Contact | GERALD E VALLEE President 740-446-9620 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2007-03-22 |
Last Update Date | 2008-10-10 |