| NPI | 1114267150 |
|---|---|
| Doing Business As | ST CLARE MEDICAL OUTREACH |
| Entity Type | Organization |
| Authorized Contact | SYLVIA CRAIG Director 302-421-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0011612) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0008737) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2019-01-10 |