| NPI | 1043246630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY A TYNER President 937-429-0607 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2023-10-27 |