| NPI | 1518394733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LOVETT President 937-743-9474 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35058433) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: OH 35058433) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |