| NPI | 1932655065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A ROSS Owner 567-278-1809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35064459) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |