| NPI | 1770897670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARI LYNN SPURLOCK Office Manager 513-523-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35026545P) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2012-07-09 |