| NPI | 1992419303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY PETRICK GONZALEZ Nurse Practitioner 614-361-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |