| NPI | 1063266823 |
|---|---|
| Other Name | PEDIATRICS PLUS MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE OBERHOUSEN BOYDSTON Owner 601-201-4419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-05-17 |