| NPI | 1033597828 |
|---|---|
| Doing Business As | PROSPECT INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TINA YUAN Owner 502-713-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2022-05-06 |