| NPI | 1902431646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE L HENNESSY Manager 614-754-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2025-10-06 |