NPI | 1336824531 |
---|---|
Doing Business As | SIMPLIFIED HEALTH DPC |
Entity Type | Organization |
Authorized Contact | BLAKE HANSEN Physician 479-337-7521 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-06-16 |
Last Update Date | 2023-06-16 |