| NPI | 1255393021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY INWOOD President 937-382-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2016-02-23 |