| NPI | 1093718116 |
|---|---|
| Doing Business As | HAZARD CLINIC |
| Entity Type | Organization |
| Authorized Contact | MITCHELL WICKER Owner 606-439-1316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 21790) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2014-01-17 |