| NPI | 1851135594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEE REAU Office Manager 614-436-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-09-16 |