| NPI | 1306893441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY NEWSOME Senior VP 888-547-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |