# MOUND FAMILY PRACTICE ASSOC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245324193
- **Authorized official:** WILLIAM BRENT ASHCRAFT M.D. (PRESIDENT)
- **Authorized official phone:** (937) 866-0741

## Contact information

- **Practice address:** 1012 E CENTRAL AVE, MIAMISBURG, OH 45342-2556
- **Practice address phone:** (937) 866-0741
- **Practice address fax:** (937) 866-8861
- **Mailing address:** 20 N RIDGE, SPRINGBORO, OH 45066-9283
- **Mailing address phone:** (937) 748-2699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | OH | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 05/02/2013