| NPI | 1710162425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY EDWARD RYAN Family Doctor 614-878-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-00-4034) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2009-01-21 |