NPI | 1164932430 |
---|---|
Doing Business As | COVENTRY MEDICAL GROUP - FP#1 |
Entity Type | Organization |
Authorized Contact | GARY CONNER VP & CFO 484-628-1324 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2017-10-02 |
Last Update Date | 2020-10-21 |