NPI | 1154478758 |
---|---|
Doing Business As | IHA PRIMARY PEDIATRICS |
Entity Type | Organization |
Authorized Contact | CYNTHIA ELLIOTT VP/Chief Operating Officer 734-747-6766 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2007-01-04 |
Last Update Date | 2018-12-19 |