| NPI | 1144451311 |
|---|---|
| Doing Business As | BLOSSOMWOOD MEDICAL |
| Entity Type | Organization |
| Authorized Contact | VYTAUTAS PUKIS Physician 256-431-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD29689) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2013-02-04 |