NPI | 1063171189 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES GRIMES CFO 855-246-8607 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist |
Additional Taxonomies | 207R00000X Internal Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-12-16 |
Last Update Date | 2023-01-27 |