NPI | 1518940881 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE A MONTGOMERY President 419-897-2270 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34004231M) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2013-07-29 |