NPI | 1023841244 |
---|---|
Doing Business As | AVALON PHYSICIAN GROUP |
Entity Type | Organization |
Authorized Contact | RACHEL MARINCH CARPENTER Founder, CEO 719-398-1901 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2024-08-22 |
Last Update Date | 2024-08-27 |