| NPI | 1760681712 |
|---|---|
| Doing Business As | BULL FAMILY DIABETES CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH PRUNIER President/CEO 937-208-8213 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2013-11-06 |