| NPI | 1083205413 |
|---|---|
| Doing Business As | ENTELMED |
| Entity Type | Organization |
| Authorized Contact | BRYAN D BURKLOW CEO 484-985-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |