| NPI | 1548224579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH PETERANGELO President 937-878-8644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34002102P) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-08-22 |