NPI | 1053359539 |
---|---|
Doing Business As | JEFFERSON PHYSICIAN MANAGEMENT GROUP D/B/A MCKIEVER CLINIC |
Entity Type | Organization |
Authorized Contact | WILLIAM R MCKIEVER Owner 870-367-6822 |
Organization Subpart ? | No |
Primary Taxonomy | 173000000X Legal Medicine (Licence: AR C5941) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2020-08-22 |