| NPI | 1205916152 |
|---|---|
| Doing Business As | CHOP PRIMARY CARE SPRINGFIELD |
| Entity Type | Organization |
| Authorized Contact | ED BLEACHER VP Finance 267-426-6179 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-12-11 |