| NPI | 1003822446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON A ZILE Family Practice Physician 937-393-4899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-05-9032-Z) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2009-11-23 |