| NPI | 1447550926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WILLIAM SMITH Sole Owner 513-742-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 34004608) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |