| NPI | 1851423545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HOBBS Office Manager 937-436-5763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OH 55720) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |