NPI | 1306314190 |
---|---|
Doing Business As | PHYSICIAN PARTNERS - MAHAN OAKS |
Entity Type | Organization |
Authorized Contact | ROBIN L MOSS Executive Director 850-431-6256 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2018-11-09 |
Last Update Date | 2019-01-28 |