| NPI | 1215047535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN H. WILLIAMS Physician/Owner 937-398-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35051235) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |