NPI | 1083835441 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDAL L DABBS President 888-203-1274 |
Organization Subpart ? | No |
Primary Taxonomy | 208M00000X Hospitalist |
Additional Taxonomies | 207R00000X Internal Medicine |
207X00000X Orthopaedic Surgery | |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
261QM0850X Clinic/Center, Adult Mental Health | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-01-31 |