NPI | 1215757778 |
---|---|
Doing Business As | CENTERWELL SENIOR PRIMARY CARE KS PA - E 13TH STREET |
Entity Type | Organization |
Authorized Contact | MEGAN GALVAN Credentialing Manager 305-500-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208D00000X General Practice | |
Enumeration Date | 2024-10-10 |
Last Update Date | 2024-10-10 |