| NPI | 1013993310 |
|---|---|
| Former Legal Business Name | FAMILY MEDICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | OMER C HURLBURT Owner 513-423-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2015-07-30 |