| NPI | 1134433154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HARTKE Chief Operating Officer 877-635-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 207K00000X Allergy & Immunology | |
| 207Q00000X Family Medicine | |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RR0500X Internal Medicine Rheumatology | |
| 208000000X Pediatrics | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2021-03-17 |