| NPI | 1376701433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MICHAEL STOLTZ Physician Executive 888-648-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M8364) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2019-05-05 |