| NPI | 1073628202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCHEUREN V.P. Finance 888-562-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-12-06 |