| NPI | 1205987542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L. BERTRAM President 270-866-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-10-30 |