| NPI | 1518288562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE WILLIAM DROLLINGER President/Owner 937-436-1854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35050973) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 11516NP) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-10-18 |