| NPI | 1962602680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM S PALMER Practice Administrator 937-435-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 207VX0000X) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2022-01-20 |