| NPI | 1912345901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A REEDER Owner/Physician 937-438-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 34005419) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2018-06-20 |