| NPI | 1508410465 |
|---|---|
| Doing Business As | SPRINGFIELD MASONIC COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | ANTHONY BERARDI President 937-525-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |