| NPI | 1942304548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILROY J SAMUEL Owner 614-882-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 35075146) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |