NPI | 1134632037 |
---|---|
Doing Business As | UTICA PARK CLINIC ELLIOTT |
Entity Type | Organization |
Authorized Contact | STEPHEN C. PETROVICH EVP 615-296-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2017-11-14 |
Last Update Date | 2018-12-31 |