| NPI | 1053266577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIC KIZA CEO 937-789-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2026-03-02 |
| Last Update Date | 2026-03-02 |