| NPI | 1467405225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JOHN PALMER Owner 937-435-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-09-11 |