NPI | 1164452371 |
---|---|
Doing Business As | FOSCUE MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | TERESA J FOSCUE Manager 870-226-2844 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E0549) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2008-12-03 |