| NPI | 1124532239 |
|---|---|
| Doing Business As | BON SECOURS SHORT PUMP PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | STEPHAN QUIRICONI CFO 804-281-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2019-08-30 |