| NPI | 1306170048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director 877-892-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2010-01-19 |