| NPI | 1013575455 |
|---|---|
| Doing Business As | USA NEPHROLOGY - PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | GLEN OWEN BAILEY CEO 251-471-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |