| NPI | 1063276632 |
|---|---|
| Doing Business As | CAPITAL REGION FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DEBBY COONS Credentialing Manager 518-213-0478 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |