| NPI | 1861040099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BROWN Owner 740-574-8728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |