| NPI | 1942233366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C POWELL President 937-479-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 29420) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |