| NPI | 1285889287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER RUDOLPH WALLINGFORD CEO 767-874-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101024223) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |