| NPI | 1972958585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA S LEVY CEO 614-354-8873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: OH 35069738) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30016150) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 30016150) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-03 |