| NPI | 1790535177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADSTONE C MCDOWELL Owner 614-383-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-04-04 |