| NPI | 1336450808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVANG M PATEL Medical Director 306-983-6746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036121863) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2021-06-25 |