| NPI | 1700856242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T DENNIS Administrator 740-773-6347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0691AS) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |