| NPI | 1912246034 |
|---|---|
| Doing Business As | GEM CITY SURGICAL BREAST CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH PRUNIER President/CEO 937-499-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-11-08 |