NPI | 1033166350 |
---|---|
Doing Business As | MOUNTAIN COMPREHENSIVE SPECIALTY SERVICES |
Entity Type | Organization |
Authorized Contact | L.M. (MIKE) CAUDILL Chief Executive Officer 606-633-4823 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2006-05-30 |
Last Update Date | 2008-02-15 |