| NPI | 1154195428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN EDWARD PEDDIE CEO 765-652-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |