| NPI | 1811269681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DWINNELLS CEO 330-747-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |