| NPI | 1790622173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE B HUBBARD COO 440-679-1691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 1835P1400X |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2026-05-02 |
| Last Update Date | 2026-05-02 |