| NPI | 1346461613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN L GREEN Physician Owner 937-222-2096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH 34005569) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |