| NPI | 1346048626 |
|---|---|
| Doing Business As | UT PRIMARY CARE LAFOLLETTE |
| Entity Type | Organization |
| Authorized Contact | BETH MAYNARD Vice President 865-585-8986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-04 |