| NPI | 1184682833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE T HARRIS Member/CEO 937-898-4942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35086818) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-09-21 |