| NPI | 1194804716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA L DAVIS Manager 866-586-8919 |
| Organization Subpart ? | |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2011-08-03 |