| NPI | 1649554031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M DAMMEL Owner 513-404-6983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 111N00000X Chiropractor | |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2018-12-03 |