| NPI | 1073956850 |
|---|---|
| Doing Business As | FOOTHILLS MEDICAL GROUP AT BRMC RHC |
| Entity Type | Organization |
| Authorized Contact | JILL M OWENS CEO 716-373-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA 5141201) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA 5141201) |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2023-10-10 |