| NPI | 1891740874 |
|---|---|
| Doing Business As | DBA INDIAN RIPPLE FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KAREN A. MITCHUM Director Of Ambulatory Practices 937-384-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-04-20 |