| NPI | 1962675868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T CLIFFORD DEVENY President 330-996-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-07-03 |