| NPI | 1255832275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ANN MEYER Cnp 513-325-4392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2018-02-25 |
| Last Update Date | 2018-07-04 |