NPI | 1053578740 |
---|---|
Doing Business As | BAY HARBOR FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DAVID GIBBONS President 814-877-7591 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2008-05-20 |
Last Update Date | 2013-08-30 |