| NPI | 1124735063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FRIEDMAN Executive Vice President Of Sales 888-209-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2024-10-04 |