| NPI | 1083002000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY GRECO Payer Enrollment Manager 223-341-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2025-07-31 |