| NPI | 1134237704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WILLIAM TERRELL President 937-393-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35025947) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |