| NPI | 1770760977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T CLIFFORD DEVENY President 330-996-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-07-01 |