NPI | 1205918810 |
---|---|
Other Name | STERLING ROCK FALL CLINIC |
Entity Type | Organization |
Authorized Contact | JEFFREY LEMAY VP Board Of Directors 815-625-4790 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-10-20 |
Last Update Date | 2007-08-03 |