| NPI | 1780875070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PAUL COWDEN Practice Administrator 614-840-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35063833) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2008-01-09 |