| NPI | 1891737698 |
|---|---|
| Former Legal Business Name | MARK S ROBERTO MD INC |
| Entity Type | Organization |
| Authorized Contact | PETER J MUIR Owner 937-399-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2014-06-23 |