| NPI | 1194950550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH A ROCH Credentialing Coordinator 513-619-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 1594262) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |