| NPI | 1578387486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MOCK VP & CFO 937-545-3516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-12 |