| NPI | 1821481037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LYNN BROOKS Insurance Manager 330-270-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35054678M) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |