| NPI | 1932381753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA L SMITH Office Manager 614-575-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-004095-G) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-02-13 |