| NPI | 1114035615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN L JOYCE Senior Revenue Cycle Supervisor 331-216-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 042.005614) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2024-08-19 |