NPI | 1134999014 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL KESSLER Owner 602-510-8627 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QB0002X Family Medicine Obesity Medicine |
Enumeration Date | 2024-01-03 |
Last Update Date | 2024-01-03 |