| NPI | 1033356795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY LOU MULLETT Cpc/Medical Biller 513-231-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35-052084) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |