| NPI | 1972533149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J BECKER Chief Operating Officer 937-297-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 163WD0400X Registered Nurse, Diabetes Educator | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 208D00000X General Practice | |
| 291U00000X Clinical Medical Laboratory | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner (Licence: OH 1313008) | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-10-19 |