NPI | 1114220845 |
---|---|
Other Name | PHYSICIANS REGIONAL LOCATION |
Entity Type | Organization |
Authorized Contact | CHERYL ANN LEACH Director, Credentialing 239-449-3072 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-12-20 |
Last Update Date | 2024-02-15 |