NPI | 1376684688 |
---|---|
Doing Business As | RIVER ROAD FAMILY PHYSICIANS |
Entity Type | Organization |
Authorized Contact | KENYA DIXON Credentialing Assistant 419-824-7288 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-02-09 |
Last Update Date | 2008-02-18 |