NPI | 1801994827 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY BROWN Credentialing Specialist 740-380-8350 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
208000000X Pediatrics | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208600000X Surgery | |
208D00000X General Practice | |
363A00000X Physician Assistant | |
363AS0400X Physician Assistant, Surgical | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-09-21 |
Last Update Date | 2025-08-20 |