| NPI | 1437469541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN PANGALANGAN Head Physician 937-208-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50000763) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |