| NPI | 1174003685 |
|---|---|
| Doing Business As | PREMISE HEALTH - FAYETTEVILLE |
| Entity Type | Organization |
| Authorized Contact | PETER J VASQUEZ President 844-407-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2020-04-29 |