NPI | 1265621213 |
---|---|
Doing Business As | MOUNTAIN VIEW FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | SAMUEL DUANE KREIS CEO/Doctor 606-877-2850 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363L00000X Nurse Practitioner | |
Enumeration Date | 2007-10-16 |
Last Update Date | 2019-09-17 |