| NPI | 1760608764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIO L GREEN Physician Owner 937-222-2096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH 34005569) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |