| NPI | 1013276088 |
|---|---|
| Doing Business As | FMC COULTER & 34TH |
| Entity Type | Organization |
| Authorized Contact | STEVEN GREGORY SMITH CFO 806-350-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2024-01-29 |