| NPI | 1104933126 |
|---|---|
| Doing Business As | CAPITAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | STEVEN CRUM President 502-695-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-11-23 |