NPI | 1003367657 |
---|---|
Other Name | INTERSTATE MEDICAL OFFICE WEST |
Entity Type | Organization |
Authorized Contact | STEPHEN SHAWN BARTON Executive Director, Revenue Cycle 800-813-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2016-10-19 |
Last Update Date | 2022-06-23 |