| NPI | 1497894950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN D ROBERTS Office Manager 937-642-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: OH 35-055850) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |