NPI | 1316216336 |
---|---|
Other Name | ST. JUDE'S TRI-CITIES AFFILIATE |
Entity Type | Organization |
Authorized Contact | RUSSELL E LEWIS Executive Director 423-433-6050 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
Enumeration Date | 2011-12-20 |
Last Update Date | 2018-08-22 |