NPI | 1104252196 |
---|---|
Doing Business As | COMMUNITY PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | CINDY WALTEMIRE Provider Enrollment Specialist 412-330-5864 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2013-09-23 |
Last Update Date | 2020-11-06 |