| NPI | 1679765663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE SUE BALL Physician Owner 937-748-5346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35067559) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-04-20 |