| NPI | 1629637475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE HARDY CFO 937-478-2932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
| 208600000X Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 207V00000X Obstetrics & Gynecology | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 207X00000X Orthopaedic Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2021-07-29 |