| NPI | 1053620724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director 877-892-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-10-15 |