| NPI | 1235264565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS MARSHALL VAN METER Managing Partner 270-886-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2014-04-11 |