| NPI | 1932036498 |
|---|---|
| Other Name | 26 E PARK DR STE 105A |
| Entity Type | Organization |
| Authorized Contact | PAUL G WESTBROCK VP, Legal Affairs 740-374-1581 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2026-05-07 |
| Last Update Date | 2026-05-07 |