| NPI | 1841556727 |
|---|---|
| Doing Business As | LIBERTY POINTE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY Y KO CFO 937-588-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2013-09-03 |