| NPI | 1295410165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW RYAN NOORDSIJ-JONES Owner/Physician 937-321-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-08-21 |