| NPI | 1063715712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY TEAGUE Vice President, Corporate Secretary 629-253-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2024-03-11 |