| NPI | 1003678178 |
|---|---|
| Doing Business As | DIRECT CARE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DALLIN HUBBARD President 385-463-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-03-19 |