| NPI | 1841547593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GARDNER Cnp 740-323-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN222488-COA1) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |