| NPI | 1205259611 |
|---|---|
| Other Name | FIVE STAR URGENT CARE FAIRMOUNT |
| Entity Type | Organization |
| Authorized Contact | JOHN C RADFORD President/Owner 716-699-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2017-04-12 |