| NPI | 1225192610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BERGMAN C.F.O. 937-641-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| 364SP0200X Clinical Nurse Specialist, Pediatrics | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 152WP0200X Optometrist, Pediatrics | |
| 208M00000X Hospitalist | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine | |
| 207W00000X Ophthalmology | |
| 207ZP0213X Pathology, Pediatric Pathology | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2024-01-12 |