NPI | 1346712866 |
---|---|
Doing Business As | PLATINUM PHYSICIANS GROUP |
Entity Type | Organization |
Authorized Contact | SIMONA DAVOUDPOUR President 424-284-9027 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Enumeration Date | 2018-12-21 |
Last Update Date | 2018-12-21 |