| NPI | 1770902207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER M SOMERVILLE Medical Doc 330-821-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.098217) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2014-04-11 |