| NPI | 1952571937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND GREGORY MASON President 330-345-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35077914M) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2014-05-21 |