| NPI | 1962654749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY F LOPER Director 614-864-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2008-10-12 |
| Last Update Date | 2008-10-12 |