NPI | 1245685007 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT LEE BINKLEY Practice Manager 302-388-9304 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000431) |
207Q00000X Family Medicine (Licence: DE CI-0D00967) | |
Enumeration Date | 2016-04-29 |
Last Update Date | 2020-12-22 |