| NPI | 1225217474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT DAVIS SCHLAPPER President 386-736-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS0004023) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |