| NPI | 1922193010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILROY J. SAMUEL Owner 614-882-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 35075146-S) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-03-17 |