| NPI | 1053090357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA REESE Enrollment & Credentialing Officer 855-687-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-21 |