| NPI | 1982720322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY DANIELLE TURNER Physician 937-325-8519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34007818) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-05-22 |