| NPI | 1598037459 |
|---|---|
| Doing Business As | ZOLLETT MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KENNETH PRUNIER President/CEO 937-499-8213 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2013-11-06 |