| NPI | 1063691590 |
|---|---|
| Doing Business As | NORTHGATE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RICHARD M DARTT M.D 859-734-3482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 34877) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3002678) |
| 363A00000X Physician Assistant (Licence: KY PA979) | |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2012-05-01 |