NPI | 1205024692 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER DIANNE HARTZELL President And Owner 508-801-5833 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101239520) |
Enumeration Date | 2007-10-10 |
Last Update Date | 2007-10-10 |