NPI | 1295949667 |
---|---|
Doing Business As | PREMIER FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | WECKENBROCK P GREGORY Partner 859-341-5757 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2007-05-09 |
Last Update Date | 2007-10-05 |