| NPI | 1316223944 |
|---|---|
| Doing Business As | FARMINGTON PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | DANIEL S SLIPKOVICH CEO 866-315-9221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO 268973) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 268973) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-12-12 |