| NPI | 1710019591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BREWSTER Billing Manager 614-337-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |