| NPI | 1174718985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL UNDERWOOD President 937-578-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34-007098) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |