| 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 |