| NPI | 1003849589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE LOWE Director Payer Enrollment 513-952-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-04-24 |