NPI | 1144902974 |
---|---|
Doing Business As | PEDS URGENT CARE |
Entity Type | Organization |
Authorized Contact | NORRIS C POLK CEO/President 313-673-5970 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2023-08-02 |
Last Update Date | 2025-01-07 |