NPI | 1124629365 |
---|---|
Doing Business As | NORTHCREST URGENT CARE & FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | HEATHER LACKEY Manager 707-111-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-11-04 |
Last Update Date | 2021-06-10 |