| NPI | 1992817365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A. HINES Office Administrator 740-397-0108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-02-26 |