NPI | 1851721856 |
---|---|
Doing Business As | DULAN AND MOORE DULAN FAMILY WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | KENNETH PRUNIER CEO/President 937-499-8205 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-11-13 |
Last Update Date | 2013-11-13 |