| NPI | 1740317981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH J ALLEY President 740-687-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35065511) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35076652) |
| 208000000X Pediatrics (Licence: OH 35070728) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2012-09-03 |