| NPI | 1114302734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT POSTLE Owner 844-633-4663 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |