NPI | 1942407879 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDRE DE LEON Clinical Instructor House Staff 614-293-2655 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2007-07-03 |
Last Update Date | 2020-08-22 |