| NPI | 1982696894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT A SCARBOROUGH Medical Director 614-764-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0059AS) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2008-02-04 |