NPI | 1316376643 |
---|---|
Doing Business As | WOODCROFT FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | KENNETH PRUNIER President/CEO 937-499-8205 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-11-07 |
Last Update Date | 2013-11-07 |