NPI | 1376023697 |
---|---|
Doing Business As | PREMISE HEALTH - FORT SMITH EAST |
Entity Type | Organization |
Authorized Contact | JON LEIZMAN President 615-468-6270 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2018-08-16 |
Last Update Date | 2023-01-09 |