NPI | 1215120035 |
---|---|
Doing Business As | ACADIA MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | DONALD VANDYKEN President 775-786-3555 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-08-24 |
Last Update Date | 2008-06-27 |