| NPI | 1477902526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BACK Physician 513-288-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35.092581) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |