| NPI | 1023450749 |
|---|---|
| Other Name | PHYSICIAN ASSISTANT GROUP |
| Entity Type | Organization |
| Authorized Contact | LEE STANTON CLORE President 270-684-6144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |