NPI | 1245771831 |
---|---|
Doing Business As | ST. BERNARDS INTERNAL MEDICINE RESIDENCY CLINIC |
Entity Type | Organization |
Authorized Contact | BENJAMIN BARYLSKE CFO 870-207-4565 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2017-03-15 |
Last Update Date | 2020-07-20 |