NPI | 1174656862 |
---|---|
Doing Business As | STONEYBROOK PHYSICIANS |
Entity Type | Organization |
Authorized Contact | ANGELA FUTRELL Chief Executive Officer 757-591-0643 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2010-09-24 |