| NPI | 1144527870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYMON L WALLACE President 513-674-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-076674) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2022-07-21 |