| NPI | 1801569348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON E LEEDY Owner 440-461-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2026-02-12 |