| NPI | 1396764528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON RICHARD FACKLER Co Owner 513-793-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-04-17 |