| NPI | 1821170911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL PELFREY Office Manager 330-331-7207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35067926) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-02-06 |