| NPI | 1851627228 |
|---|---|
| Doing Business As | NEEDMORE ROAD PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | KENNETH PRUNIER President/CEO 937-208-8213 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2013-11-08 |