| NPI | 1740046655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE OTT Owner/Authorized Official 740-870-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |