| NPI | 1720107097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLIE BOGGS Office Manager 513-681-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2023-10-11 |