| NPI | 1407044860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVONNE DIXON Billing Manager 513-422-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35056016) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |