| NPI | 1922355999 |
|---|---|
| Doing Business As | VILLAGE GREEN PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY Y KO CFO 937-558-3223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2019-10-04 |