| NPI | 1033309463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN M HAJJAR Physician 937-386-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: OH 35067590H) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2008-05-27 |