| NPI | 1205932761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY G. REEKIE Physician Owner 267-440-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD022417E) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-08-15 |