| NPI | 1154616266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LOVE JOINER Secretary 541-752-1179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX DO27241) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |