| NPI | 1558313460 |
|---|---|
| Doing Business As | BEAVERCREEK FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KENNETH PRUNIER CEO/President 937-208-8213 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-11-06 |