| NPI | 1245442920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY W PACKER Billing Manager 1888-745-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |