| NPI | 1225710668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIE BREEDING Owner 937-759-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-21 |