| NPI | 1093946659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LOYE REED Member 937-325-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 34008140) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |