| NPI | 1295232478 |
|---|---|
| Doing Business As | UTICA PARK CLINIC PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN C. PETROVICH EVP 615-296-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2019-05-29 |