| NPI | 1851678460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GATELEY BURTON Owner 937-395-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.049971) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2012-04-13 |