NPI | 1770632259 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL GALVIN Administrator 937-294-9840 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0716AS) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2008-10-08 |