| NPI | 1710201538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER AMIGO President 614-932-9548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0731AS) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |