| NPI | 1114656816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP MORRIS Owner 800-674-7967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2025-01-15 |