| NPI | 1164850533 |
|---|---|
| Doing Business As | MUSKINGUM MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DERON FRANK General Manager/Vice President 310-536-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |