NPI | 1184000549 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN DANIEL SPALLETTA Owner 541-295-4034 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 1174571186) |
Enumeration Date | 2015-08-07 |
Last Update Date | 2015-08-07 |