| NPI | 1568665891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LYNN MCFARLAND Corporation Secretary 937-233-0748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35 05 8434M) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35 04 3565M) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: OH 34003765F) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2009-10-05 |