| NPI | 1881886984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TODD BOGGS President 937-962-2618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35067136) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2018-04-04 |