| NPI | 1073784302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS BROCKMAN Managing Member/Physician 513-346-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35055812) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2011-09-19 |