| NPI | 1992552707 |
|---|---|
| Doing Business As | CENTRAL FAMILY & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEAN OHMART CFO 660-262-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |