| NPI | 1588977383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY L MCCLUSKEY President 937-435-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.093140) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |