| NPI | 1801114046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY R HAWK Physician/Owner 330-482-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34006213) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-06-22 |