| NPI | 1699748087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN M SERVIS Credentialing Specialist 937-396-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-11-01 |