| NPI | 1295407815 |
|---|---|
| Other Name | SHRINERS CHILDREN'S MEDFORD CLINIC |
| Entity Type | Organization |
| Authorized Contact | JERRY G. GANTT President 813-281-0300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |