| NPI | 1194760413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STEPHEN PURDON Owner 662-236-1352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2008-05-22 |