| NPI | 1104866136 |
|---|---|
| Doing Business As | SYCAMORE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ANDREW KELLAR Regional Practice Manager 765-457-8381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-10-23 |