| NPI | 1134939333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A MERLIN Chief Medical Officer 551-225-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 251E00000X Home Health | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-05-09 |