NPI | 1043548019 |
---|---|
Entity Type | Organization |
Authorized Contact | VENKATAPERUMAL R CHANDRASEKARAN Owner 307-324-2294 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WY 2812A) |
Enumeration Date | 2009-12-02 |
Last Update Date | 2009-12-02 |