NPI | 1225724610 |
---|---|
Doing Business As | ALLEVIUS CLINIC |
Entity Type | Organization |
Authorized Contact | MEHRAN BAJOGHLI Physician 276-500-0338 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207U00000X Nuclear Medicine |
Enumeration Date | 2023-04-18 |
Last Update Date | 2024-05-24 |