| NPI | 1053366401 |
|---|---|
| Doing Business As | MIDWEST CITY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | STANLEY MCLEMORE Senior Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2009-06-26 |