| NPI | 1770764086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TODD BROCK Physician 614-733-0816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-00-7161-B) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |