NPI | 1174911325 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSS RONAN Vice President 469-401-2386 |
Organization Subpart ? | No |
Primary Taxonomy | 208M00000X Hospitalist |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2014-12-22 |
Last Update Date | 2015-10-14 |