| NPI | 1578881009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN R STAHL Managing Partner/President 937-427-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0991AS) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: OH 0991AS) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2013-01-10 |