| NPI | 1134189475 |
|---|---|
| Doing Business As | MAD RIVER INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RON CARMIN VP/Finance 937-592-4015 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2010-08-24 |