NPI | 1114026879 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLA F MARSHALL Office Manager 502-636-5532 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Enumeration Date | 2006-09-21 |
Last Update Date | 2008-05-07 |