| NPI | 1053500058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TOM FOGARTY President 800-232-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2010-07-01 |