| NPI | 1306435185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYA K SYKES Physician 937-241-3720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2024-11-11 |