| NPI | 1013197557 |
|---|---|
| Doing Business As | OWEGO WALK-IN |
| Entity Type | Organization |
| Authorized Contact | ANGELA IACOVELLI COO/CFO 607-770-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |