NPI | 1023513504 |
---|---|
Doing Business As | AHN CROSSROADS FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | CINDY WALTEMIRE Provider Enrollment Specialist 412-330-5864 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-03-27 |
Last Update Date | 2020-10-14 |