| NPI | 1861107914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JAMES PFISTER Authorized Official 330-725-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 111N00000X Chiropractor | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2025-10-06 |