| NPI | 1770800914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE STEVENS Office Manager 513-671-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 35030301) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |