| NPI | 1770631392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PERCY President 937-294-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 037634) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-12-28 |