| NPI | 1790061513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NORMAN CFO 740-454-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208800000X Urology | |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2022-10-05 |