| NPI | 1710279179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOWANNA LADALE LUNSFORD CEO 513-479-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35052457) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-06-15 |