| NPI | 1932575735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB ALEXANDER BAIR President 330-856-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34011557) |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2015-08-15 |