| NPI | 1174578256 |
|---|---|
| Doing Business As | SOUTH DAYTON INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KENNETH PRUNIER CEO/President 937-208-8213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |