| NPI | 1730392309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS E. BERGMAN Chief Financial Officer 937-641-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-06-01 |