NPI | 1275171357 |
---|---|
Doing Business As | AVAIL LC PHYSICIAN GROUP, LLC |
Entity Type | Organization |
Authorized Contact | PATTY CROCHET Billing Office Manager 373-656-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2019-12-19 |
Last Update Date | 2019-12-19 |