NPI | 1104973940 |
---|---|
Doing Business As | IROQUOIS FAMILY MEDICINE PSC |
Entity Type | Organization |
Authorized Contact | STACY TRINKLE Vice President 502-366-7720 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-01-04 |
Last Update Date | 2018-07-18 |