NPI | 1750555462 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES LARSON Senior Director 513-585-9336 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2008-04-15 |
Last Update Date | 2008-04-15 |