| NPI | 1134437114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT L. SELCO Owner/President/Physician 800-975-2168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: NV 11189) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2025-05-08 |