| NPI | 1700807781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON RARICK Billing Manager 330-829-0951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: OH 35084462) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |