| NPI | 1386642080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE J COLE Physician Owner 513-563-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34004375C) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-04-11 |