| NPI | 1710660170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA BARR Owner 937-545-1149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-09-12 |