| NPI | 1801232251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN MEDAUGH Pediatric Nurse Practitioner 937-369-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281PC2000X Chronic Disease Hospital, Children (Licence: OH COA14473-NP) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |