NPI | 1366014086 |
---|---|
Doing Business As | INTEGRATIVE DIRECT PRIMARY CARE, INC |
Entity Type | Organization |
Authorized Contact | ELIZABETH D SMITH Nurse Practitioner/Owner 937-408-5058 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2021-07-13 |
Last Update Date | 2021-07-13 |