NPI | 1063896637 |
---|---|
Doing Business As | NORTON CLARK PHYSICIAN PRACTICES |
Entity Type | Organization |
Authorized Contact | SHELLEY GAST VP Managed Care 502-272-5335 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2015-07-14 |
Last Update Date | 2023-11-07 |