NPI | 1356789341 |
---|---|
Doing Business As | TONKAWA MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | DONALD PATRICK EASTERLING President 239-552-3575 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-06-12 |
Last Update Date | 2013-06-12 |