| NPI | 1538050695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL RIEDEL Nurse Practitioner 937-657-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-10-07 |