NPI | 1134840259 |
---|---|
Doing Business As | VALLEY PROCEDURES |
Entity Type | Organization |
Authorized Contact | BRIAN W INGRAM Owner 662-417-4378 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Enumeration Date | 2022-09-07 |
Last Update Date | 2024-07-17 |