NPI | 1023384252 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN BOSWELL Owner/Physician 205-495-1802 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD25562) |
Additional Taxonomies | 207QS1201X Family Medicine Sleep Medicine (Licence: AL MD25562) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2012-04-03 |