NPI | 1093399669 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT FRIEDMAN Executive VP 888-209-8874 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
261Q00000X Clinic/Center | |
Enumeration Date | 2021-05-10 |
Last Update Date | 2024-10-07 |