| NPI | 1366279390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON OLER President 267-225-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-11-15 |