| NPI | 1205146016 |
|---|---|
| Doing Business As | ADVANCED MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY Y KO CFO 937-558-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2016-09-12 |