Central State University

NPI #1871057992 in Wilberforce, Ohio

Provider Information

NPI Number: 1871057992
Entity Type: Organization
Organization Name: Central State University
Primary Specialty: Family Medicine
Enumeration Date: Jan 23, 2019
Last Updated: Jan 23, 2019

Practice Location

Address: 1400 BRUSH ROW RD.
City: Wilberforce
State: Ohio
ZIP Code: 45384
Phone: (937) 376-6076

Authorized Official

Name: KAREN MATHEWS, M.D.
Title: EXECUTIVE DIRECTOR
Phone: (937) 376-6076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

Provider Name	Specialty	City
Central State University	Family Medicine	Wilberforce	AI Deep Dive

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