NPI | 1336836311 |
---|---|
Doing Business As | PREMIER HEALTH CLINIC AT MASONIC COMMUNITIES |
Entity Type | Organization |
Authorized Contact | SANDRA HAIG Director, It & Revenue Cycle 937-208-6495 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
Enumeration Date | 2023-04-20 |
Last Update Date | 2023-04-20 |