NPI | 1063855294 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID EUGENE BRADFORD Owner 513-772-9065 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2013-04-08 |
Last Update Date | 2024-03-13 |