| NPI | 1366606543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA KAY PALOALTO Billing Manager 502-638-4282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 32191) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |