NPI | 1194950550 |
---|---|
Entity Type | Organization |
Authorized Contact | BETH A ROCH Credentialing COO Rdinator 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 |