| NPI | 1235912007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY FORKE COO 484-587-9483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |