NPI | 1285088666 |
---|---|
Doing Business As | CENTRAL FAMILY AND SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | MICHAEL DEAN OHMART CFO 660-262-7307 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2016-04-21 |
Last Update Date | 2021-11-01 |