| NPI | 1013399617 |
|---|---|
| Doing Business As | CLAXTON HEPBURN CONVENIENT CARE |
| Entity Type | Organization |
| Authorized Contact | WYLON SPRINGSTEAD Billing Manager 315-393-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-22 |