| NPI | 1154469765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN PALEY Orthopedic Surgeon 937-436-5763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OH AT.001991) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-08-22 |