| NPI | 1467640680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KAE GABBARD Billing Supervisor 937-323-5064 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2008-01-30 |