| NPI | 1104958768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN A BUFFINGTON Corporate Secretary 937-429-7196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |