NPI | 1013070952 |
---|---|
Doing Business As | EDINA PEDIATRICS |
Entity Type | Organization |
Authorized Contact | VICKI THOMSON Owner 952-927-7337 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MN 1101) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2019-08-29 |