| NPI | 1396938791 |
|---|---|
| Doing Business As | OICC PRIMARY CARE NETWORK |
| Entity Type | Organization |
| Authorized Contact | PATRICIA DIETZ BRASSE Credentialinc Coordinator 937-429-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2008-02-25 |