| NPI | 1841229499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH KING Reimbursement Manager 330-829-9389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-07-6318-P) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |