| NPI | 1518209618 |
|---|---|
| Doing Business As | PREMIER FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KEN PRUNIER CEO/President 937-499-9015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-11-08 |