| NPI | 1316319221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HALTIGAN Business Operations Manager 877-856-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2023-01-18 |