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 |