| NPI | 1740718998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID THEIS Physician 740-317-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA Os017698) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |