| NPI | 1184761959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CRAIG BURKS President 937-206-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35059708) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |