NPI | 1700052826 |
---|---|
Doing Business As | VICTORIAN VILLAGE FAMILY HEALTH |
Entity Type | Organization |
Authorized Contact | LISA A RICHARDSON Coordinator 614-546-4969 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2008-05-08 |
Last Update Date | 2010-06-14 |