| NPI | 1013161215 |
|---|---|
| Doing Business As | INNOVATIVE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | ANGELIA K MONTGOMERY Office Manager 937-322-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2024-05-21 |