| 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 |