| NPI | 1417058314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MICHAEL MCCULLOUGH Senior Physician Of Practice 937-848-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-08-12 |