NPI | 1205401577 |
---|---|
Doing Business As | THE CLINIC AT NEWPORT DRUG CENTER |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER BUSH Owner 859-620-5935 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2021-05-20 |
Last Update Date | 2021-05-20 |