| NPI | 1316993421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PATRICK WRIGHT Sr. Director 888-801-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2014-07-31 |